Intraoperative Blood Loss During Induced Abortion: A Comparison of Anesthetics

Authors

Camille A. Clare, New York Medical CollegeFollow
Gabrielle E. Hatton
Neela Shrestha, New York Medical CollegeFollow
Michael Girshin, New York Medical CollegeFollow
Andre Broumas, New York Medical CollegeFollow
Danielle Carmel
Mario A. Inchiosa Jr., New York Medical CollegeFollow

Journal Title

Anesthesiology Research and Practice

First Page

Art. ID.: 4051896, 5 pages

Document Type

Article

Publication Date

12-1-2018

Department

Obstetrics and Gynecology

Abstract

Objective: To determine whether there is a difference in intraoperative bleeding with inhalational versus noninhalational anesthetic agents for patients undergoing suction dilatation and curettage for first-trimester induced abortion. Methods: This is an IRB-approved retrospective chart review of the electronic medical records of patients undergoing induced abortion at gestational ages between 5 0/7 and 14 0/7 weeks of pregnancy at the New York City Health + Hospitals/Metropolitan. The records of 138 patients who underwent suction dilatation and curettage for induced abortion between June 2012 and June 2014 were reviewed for an association between anesthetic technique and intraoperative hemorrhage. Twenty patients received inhalational anesthetic agents, while 118 received intravenous anesthetics. Blood loss was estimated by the operating gynecologists. Results: The mean intraoperative blood loss for inhalational anesthetics (113.6 ml) was significantly higher than with noninhalational agents (40.2 ml) (p=0.007). Age, body mass index, and gestational age were not statistically different between the groups; the number of methylergonovine doses at induced abortion trended higher with inhalation anesthetics. Conclusions: The difference in blood loss between the two types of anesthetic techniques was statistically significant. These findings may be important for patients with significant anemia or at an increased risk of bleeding, such as those with unrecognized coagulopathies.

Recommended Citation

Clare, C. A., Hatton, G., Shrestha, N., Girshin, M., Broumas, A., Carmel, D., & Inchiosa Jr., M. (2018). Intraoperative Blood Loss During Induced Abortion: A Comparison of Anesthetics. Anesthesiology Research and Practice, 2018, Art. ID.: 4051896, 5 pages. https://doi.org/10.1155/2018/4051896

Publisher's Statement

Originally published in Anesthesiology Research and Practice, 2018 [Article 4051896]. The original material can be found here.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.