Synopsis: General anesthesia involving tracheal intubation has been associated with increased risk of complications, especially of hemorrhage. Therefore, is not recommended for second-trimester dilation and evacuation (D&E) by the World Health Organization. The present study aims to estimate the incidence of pulmonary aspiration in patients who underwent D&E under intravenous deep sedation without tracheal intubation. This week’s “ MED FACT ” discusses a clinical trial from Obstetrics & Gynecology, “ Safety of Deep Sedation Without Intubation for Second-Trimester Dilation and Evacuation ”. Authors: S.
Aksel et. al. Key Takeaways: Deep sedation without tracheal intubation for women undergoing D&E has a low incidence of anesthesia-related complications. Objective: To estimate the incidence of pulmonary aspiration in patients who underwent Dilation and Evacuation under intravenous deep…