Local Anaesthesia and Remifentanil Sedation Versus Total Intravenous Anaesthesia for Hysteroscopic Surgery in an Ambulatory Surgery Department.

Local Anaesthesia and Remifentanil Sedation Versus Total Intravenous Anaesthesia for Hysteroscopic Surgery in an Ambulatory Surgery Department. A Randomized Clinical Trial.

The purpose of this study is to compare a new method: the combination of conscious sedation with remifentanil (a shortlasting opioid drug) and local anaesthesia, with the traditional general anaesthesia for hysteroscopic surgery. The primary outcomes are: the time spent in the operation room, the time to full mobilisation postoperatively and the time to complete recovery postoperatively and the time to discharge. Secondary outcome: patient satisfaction.

Inclusion Criteria:

• Age > 18 years,
• ASA classification I-II
• Speaks and writes danish
• Signed informed consent

Exclusion Criteria:

• ASA classification III-VI
• Emotional disorder - medically treated within a week before surgery
• Patients in risk of perioperative aspiration - who must be intubated
• BMI > 35
• Patients who have been using pain medicine within a week before surgery (except PCM and NSAID)
• Patients who have been using sleeping medicine or sedatives within a week before surgery