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306 results for

Paracervical Block

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301. Paracervical block with and without conscious sedation: a comparison of the pain levels during egg collection and the postoperative side effects. (PubMed)

Paracervical block with and without conscious sedation: a comparison of the pain levels during egg collection and the postoperative side effects. To compare the pain levels during egg collection and the subsequent postoperative side effects in patients receiving a paracervical block (PCB) with and without conscious sedation.A prospective, randomized, double-blind, and placebo-controlled study.A tertiary assisted reproduction unit.150 patients undergoing egg collection.Randomized to receive PCB

2001 Fertility and sterility Controlled trial quality: uncertain

302. Comparison of two different doses of lignocaine used in paracervical block during oocyte collection in an IVF programme. (PubMed)

Comparison of two different doses of lignocaine used in paracervical block during oocyte collection in an IVF programme. We have recently demonstrated the efficacy of paracervical block (PCB) used in conjunction with conscious sedation during egg collection. The dosage of lignocaine used in various studies ranges from 50 mg to 200 mg. There are, however, no studies evaluating the efficacy of different doses of local anaesthetic agents used in PCB. In this prospective, double-blind and placebo

2000 Human reproduction (Oxford, England) Controlled trial quality: uncertain

303. Comparison of paracervical block techniques during first trimester pregnancy termination. (PubMed)

Comparison of paracervical block techniques during first trimester pregnancy termination. To determine whether variations in chloroprocaine placement in paracervical blocks influence effectiveness, whether chloroprocaine is superior to saline, and what factors influence pain perception.Eighty-two women undergoing first trimester aspiration abortions were randomized to receive 1% chloroprocaine or saline at 3-5-7-9 or 4-8 o'clock positions. Using a 0--10 scale, women rated anxiety, dysmenorrhea (...) , and pain associated with laminaria insertion, paracervical block, and aspiration.All four groups were similar in medical and demographic characteristics. Injection position did not influence pain ratings, but women who received chloroprocaine had less pain than those who received saline (6.3+/-2.3 vs. 7.8+/-2.0, P=0.002). Paracervical pain and dysmenorrhea were independently associated with aspiration pain scores (respective regression coefficients 0.49 and 0.26, P<0.008).There is no advantage to using

2001 International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics Controlled trial quality: uncertain

304. Paracervical block and elective abortion: the effect on pain of waiting between injection and procedure. (PubMed)

Paracervical block and elective abortion: the effect on pain of waiting between injection and procedure. Our purpose was to assess the effect on pain and patient satisfaction of waiting between paracervical block and dilation during first-trimester abortions.One hundred ninety-nine women seeking pregnancy termination were randomly assigned to a no-wait group (group 1) and a 3- to 5-minute wait between injection and dilation group (group 2). Subjects rated their pain on a visual analog scale (...) at four times: prior to procedure, with dilation, with aspiration, and 30 to 45 minutes after procedure.No significant differences were observed in pain or satisfaction ratings reported by group 1 (n = 93) and group 2 (n = 101). A significant decrease in pain with dilation (1.21 cm decrease, P =.009) and aspiration (1.15 cm decrease, P =.0015) was observed among patients who received fentanyl.Delay between paracervical injection and dilation during first-trimester abortion does not have an impact

2002 American journal of obstetrics and gynecology Controlled trial quality: uncertain

305. A randomized, double blind, placebo-controlled study to investigate the use of conscious sedation in conjunction with paracervical block for reducing pain in termination of first trimester pregnancy by suction evacuation. (PubMed)

A randomized, double blind, placebo-controlled study to investigate the use of conscious sedation in conjunction with paracervical block for reducing pain in termination of first trimester pregnancy by suction evacuation. This study evaluated the role of conscious sedation in pain relief during termination of first trimester pregnancy by suction evacuation (SE) under local anaesthesia.A hundred women undergoing SE before 12 weeks gestation were randomized by computer using the sealed envelope (...) method to receive placebo (saline) or conscious sedation (2 mg midazolam and 25 microg fentanyl) i.v. 5 min before cervical dilatation. Paracervical block was given to all patients, 2 min later. Pain scores during and after SE, post-operative side-effects and satisfaction level were compared.No statistically significant differences in pain scores were found between the two groups. Post-operative side-effects such as dizziness (P = 0.015) and drowsiness (P < 0.001) were significantly more severe

2002 Human reproduction (Oxford, England) Controlled trial quality: uncertain

306. Pain relief using paracervical block in patients undergoing manual vacuum aspiration of uterus. (PubMed)

Pain relief using paracervical block in patients undergoing manual vacuum aspiration of uterus. To evaluate pain relief using paracervical nerve block with 1% lignocaine injection in patients undergoing uterine evacuation by Manual Vacuum Aspiration (MVA) for the treatment of incomplete abortion.A randomized double blind clinical trial.Marie Stopes Health Centre, Nairobi.One hundred and forty two patients were recruited between September and October 1997. The intervention was random assignment (...) to the study group (paracervical block with 1% lignocaine) or the placebo group (paracervical block with sterile water for injection). Intra and post operative assessment of pain was made using McGills and facial expression scales.The untreated group experienced significantly more pain than the treated group, especially lower abdominal pain and backache. The pain was especially marked intraoperatively, less so 30 minutes post-operatively.Based on the findings of this study, any patient going for manual

2002 East African medical journal Controlled trial quality: uncertain

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