Pain medicine

Intraoperative fentanyl versus paracetamol for ultrasound-guided oocyte retrieval analgesia: a randomised clinical trial

Int J Obstet AnesthPublished Randomised controlled trial

Authors' conclusion

Intra-operative IV paracetamol 1000 mg was non-inferior to fentanyl 100 μg for post-procedure analgesia

Study context

Population
Healthy women with ≤15 follicles undergoing ultrasound-guided oocyte retrieval under GA (propofol)95 analysed
Participants
100 women
Comparison
Intravenous (IV) paracetamol 1000 mg vs IV fentanyl 100 μg within multimodal GA
Primary endpoint
Median postoperative pain numerical rating scale (NRS) score (0–10) at five predefined time points
Follow-up
Within the first two postoperative hours
Methodological detailssingle-centre, single-blinded, non-inferiority
  • Single-centre
  • Single-blinded
  • Non-inferiority

Primary result

As reported in the abstract

Postoperative pain NRS

Paracetamol

0

Median · IQR 0–1

Fentanyl

0

Median · IQR 0–1

P = 0.31

Secondary outcomes

Low Pasero sedation score

P = 0.98

Median

OutcomeParacetamolFentanylP value
Patient satisfaction (5-point Likert)55P = 0.90

Aldrete scores, postoperative analgesia use, prolonged discharge time (>60 minutes)

No differences between groups

Original publication

Intraoperative fentanyl versus paracetamol for ultrasound-guided oocyte retrieval analgesia: a randomised clinical trial. Int J Obstet Anesth. Published 10 May 2025. doi:10.1016/j.ijoa.2025.104681

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