An evaluation of conscious sedation using propofol and remifentanil for tension‐free vaginal tape insertion

Summary Tension‐free vaginal tape insertion is a recommended treatment for stress incontinence. There is evidence that intra‐operative testing of continence by asking patients to cough may improve outcomes, but an optimal sedation regimen has not been determined. We prospectively evaluated the effectiveness of propofol and remifentanil infusions in 25 patients using pre‐ and post‐sedation peak cough pressures and pain scores. Patient satisfaction was assessed using the Iowa Satisfaction with Anaesthesia Score (ISAS). Post‐sedation cough pressures were improved compared to baseline, with a mean peak pressure increase of 24 mmHg (95% CI 15.5–32.5; p