Short-term anesthesia with Propofol for a scraping

In the case of a gynecological scraping, the patient must be anaesthetised in any case. In the course of time, most anesthetics have been replaced by the drug Propofol. Since the scraping is a relatively short procedure, an anesthetic with Propofol is also suitable here.

The good controllability and relatively few side effects and risks make Propofol the drug of choice for short procedures. Normally, the scraping is performed under general anesthesia, which means that the patient does not notice the procedure. However, since Propofol does not have an analgesic effect, an additional analgesic is required.

During the operation, vital functions such as breathing, pulse and blood pressure are permanently monitored by an anesthesiologist, who ensures that the anesthesia is deep enough to be unaware of the operation, but that the patient can still breathe. In the case of a gynecological scraping, the patient is informed about the risks of the procedure and also about the propofol administration. She is then given a venous access through which a previously calculated amount of propofol is administered shortly before the procedure.

How much of the medication has to be administered depends on the expected length of the procedure, the patient’s weight and height, and any pre-existing or concomitant illnesses, or whether the patient is taking or smoking additional medication. A scraping usually takes between 10 and 30 minutes. Due to the good controllability of the medication, patients wake up shortly after completion of the scraping. If the procedure is prolonged, the medication can be injected into the patient.

Short anaesthesia with Propofol when inserting the coil

The insertion of a spiral is usually a relatively short and painless, albeit unpleasant, procedure. As a rule, the gynaecologist does not administer any anaesthetics. If the patient has a pronounced anxiety or pain, a short anaesthetic can be considered during the procedure.

In most cases, the drug Propofol is used, which is ideally suited due to its rapid onset and release. The insertion of a coil takes only a few minutes. Accordingly, only a small amount of Propofol is required.

The patient wakes up shortly after the procedure. However, changing a coil can cause more pain. Propofol is then used more frequently in this case.

However, practices must be appropriately equipped and trained to use propofol. Side effects and risks can occur with Propofol, even if they are rare. In addition to intolerance and allergy, respiratory depression must also be taken into account, which can lead to insufficient oxygen saturation under Propofol.