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Factors influencing decision-making for the anesthetic technique in molar pregnancy patients for suction curettage: A retrospective study

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Original Article

Author Details : Namtip Triyasunant*, Patchareya Nivatpumin, Nutthakarn Luangpirom, Thanyarat Wongwananuruk

Volume : 11, Issue : 1, Year : 2024

Article Page : 25-31

https://doi.org/10.18231/j.ijca.2024.006

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Abstract

Objective: Anesthetic techniques for suction curettage in molar pregnancy patients described in the literature can be classed into general anesthesia and regional anesthesia techniques. The aim of the present study was to report the factors influencing the decision-making for the choice of anesthetic technique in molar pregnancy patients who underwent suction curettage at Siriraj Hospital. The reported intraoperative and postoperative complications were also analyzed.
Materials and Methods: A retrospective chart review was conducted among pregnant women diagnosed with molar pregnancy who had underwent suction curettage under anesthesia at Siriraj Hospital between January 2007 to September 2021. Overall, 244 patients were diagnosed with molar pregnancy, with 110 of these included for analysis in this study after consideration of the inclusion and exclusion criteria. Quantitative data of the included patients were analyzed by either unpaired t-test or Mann–Whitney U test, while qualitative data were analyzed by the chi-square test. Logistic regression was used to establish the factors influencing the decision-making for the anesthetic technique.
Results: General anesthesia was the most preferred anesthetic technique (77.4%) in the molar pregnancy patients who had underwent suction curettage, followed by regional anesthesia (11.3%) and intravenous sedation (11.3%). General anesthesia was likely to be used in patients with an enlarged uterine size ? 16 weeks with an adjusted odds ratio of 11.64 (95% CI 1.08–125.72, p < 0> Conclusion: Patients with higher co-morbidities were advised by anesthesiologists to receive general anesthesia. However, an enlarged uterine size ? 16 weeks was the only factor that had an influence on the decisions of the anesthesiologists to provide general anesthesia.
 

Keywords: Anesthetic technique, Molar pregnancy, Suction curettage, Uterine size.

How to cite : Triyasunant N, Nivatpumin P, Luangpirom N, Wongwananuruk T, Factors influencing decision-making for the anesthetic technique in molar pregnancy patients for suction curettage: A retrospective study. Indian J Clin Anaesth 2024;11(1):25-31

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