title: The safety of deep sedation without intubation for abortion in the outpatient setting.
abstract: OBJECTIVE
  To determine the rate of perioperative pulmonary aspiration in patients undergoing first and second-trimester surgical abortion during deep sedation with propofol, without intubation.
  
  
  METHODS
  Retrospective review of cases of surgical and anesthetic complications reported to the Office of Quality Management of the surgical facility between August 1, 2001 and April 30, 2008.
  
  
  METHODS
  Large urban surgical abortion outpatient facility.
  
  
  METHODS
  The medical records of all surgical abortion patients who underwent hospital transfer were reviewed. From billing records, all patients who underwent abortion during deep sedation were identified. The primary outcome was the rate of perioperative pulmonary aspiration. Secondary outcomes included the rates of other anesthesia-related adverse events resulting in hospital transfer.
  
  
  RESULTS
  During the 81-month study period, the facility performed 62,125 surgical abortions during deep sedation, including 11,039 second-trimester abortions. Only one patient received endotracheal intubation. No cases of perioperative pulmonary aspiration occurred.
  
  
  CONCLUSIONS
  Deep sedation without intubation is a viable method of anesthesia for both first and second-trimester surgical abortions in the outpatient setting.
authors.affiliation: Planned Parenthood of New York City, 26 Bleecker St., New York, NY 10012, USA. gillian.dean@ppnyc.org
authors.forename: Gillian
authors.initials: G
authors.lastname: Dean
authors.forename: Adam R
authors.initials: AR
authors.lastname: Jacobs
authors.forename: Robert C
authors.initials: RC
authors.lastname: Goldstein
authors.forename: Clifford M
authors.initials: CM
authors.lastname: Gevirtz
authors.forename: Maureen E
authors.initials: ME
authors.lastname: Paul
mesh_terms: D000028:Abortion, Induced / Q000379:methods*; D000293:Adolescent; D000328:Adult; D000556:Ambulatory Surgical Procedures / Q000379:methods*; D002648:Child; D015331:Cohort Studies; D054810:Deep Sedation / Q000009:adverse effects; D004107:Dilatation and Curettage; D005260:Female; D006801:Humans; D006993:Hypnotics and Sedatives; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D011247:Pregnancy; D011261:Pregnancy Trimester, First; D011262:Pregnancy Trimester, Second; D015742:Propofol; D012189:Retrospective Studies; D012959:Socioeconomic Factors; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D006993:Hypnotics and Sedatives; D015742:Propofol