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British Journal of Anaesthesia, 1985, Vol. 57, No. 12 1226-1231
© 1985 The Board of Management and Trustees of the British Journal of Anaesthesia

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OUTPATIENT TERMINATION OF PREGNANCY: HALOTHANE OR ALFENTANIL-SUPPLEMENTED ANAESTHESIA

K. M COLLINS, O. M. PLANTEVIN, R. H. WHITBURN and J. P. DOYLE

K. M.COLLINS,*M.B., B.S., F.F.A.R.CS., O. M. PLANTEVIN, M.B., CH.B., F.F.A.R.CS., R. H. WHITBUJtN, M.B., B.S., F.F.A.R.CS.(Department of Anaesthetics); J. P. DOYLE, M.B., CH.B., D.R.C.O.G. (Department of Gynaecology); St Thomas'Hospital, London SE1 7EH.*Present address: Consultant Anaesthetist, North Middlesex Hospital, Sterling Way, London N18.

Inhalation anaesthesia with halothane was compared with i. v. alfentanil in 66 unpremeditated patients undergoing suction termination of pregnancy as outpatients. Blood loss was significantly greater in the halothane group with a mean loss of 213 ml, compared with a mean loss of 89.8 ml in the alfentanil group. There was a greater frequency of nausea and vomiting in the alfentanil group, but no reduction in abdominal pain or need for analgesia after operation. Positive relationships were found between blood loss and duration of anaesthesia and between blood loss and gestational age in the halothane group, but not in the alfentanil group. We conclude that a/fentan/l-supplemented anaesthesia is satisfactory for suction termination of pregnancy when rapid recovery is required or the duration of the procedure is likely to be long, but that halothane anaesthesia cannot be recommended, especially if the procedure is long.


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