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Laparoscopic Sterilization with Local Anesthesia

Complications and Blood-Gas Changes

MICHAEL DIAMANT, MD^*, JONATHAN L. BENUMOF, MD, LAWRENCE J. SAIDMAN, MD, JOSEPH KENNEDY, MD, and PHILIP YOUNG, MD

*Anesthesia Resident III, Department of Anesthesia, University of California Medical Center San Diego, San Diego, California 92103. Assistant Professor of Anesthesia, Department of Anesthesia, University of California Medical Center San Diego, San Diego, California 92103. Professor of Anesthesia, Department of Anesthesia, University of California Medical Center San Diego, San Diego, California 92103. Assistant Clinical Professor, Department of Obstetrics and Gynecology, University of California Medical Center San Diego, San Diego, California 92103.

Abstract

Arterial blood-gas changes were studied in 21 healthy women undergoing laparoscopic sterilization with local anesthesia and supplemental IV sedation, employing CO₂ as the inflating gas. No significant hypercarbia was noted. Two patients became transiently apneic following IV medication and 2 became extremely agitated during the procedure. This constituted a major nonsurgical complication rate of 19 percent. Safety requirements for patients undergoing this procedure are suggested.

Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999