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Paracervical Block

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21. Uterine or paracervical lidocaine application for pain control during intrauterine contraceptive device insertion: a meta-analysis of randomised controlled trials. (Full text)

women) reporting paracervical lidocaine block or uterine mucosa lidocaine application before IUD insertion. Lidocaine produced lower VPS scores during tenaculum placement (MD -0.99, 95% CI: -1.73 to -0.26), IUD insertion (MD -1.26, 95% CI: -2.23 to -0.29) and immediate post-IUD insertion period (MD -1.25, 95% CI: -2.17 to -0.33).Lidocaine treatment was associated with modest reduction of pain during tenaculum placement and after IUD insertion. (...) Uterine or paracervical lidocaine application for pain control during intrauterine contraceptive device insertion: a meta-analysis of randomised controlled trials. Systematic review and meta-analysis to assess the effects of uterine or paracervical lidocaine application on pain control during IUD insertion.PubMed and five other electronic research databases were searched through 15 November 2017 for RCTs comparing lidocaine treatment vs. a control (placebo or no-intervention) to prevent pain

2018 The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception PubMed abstract

22. Comparison of lidocaine spray and paracervical block application for pain relief during first-trimester surgical abortion: A randomised, double-blind, placebo-controlled trial. (Abstract)

Comparison of lidocaine spray and paracervical block application for pain relief during first-trimester surgical abortion: A randomised, double-blind, placebo-controlled trial. Surgical abortion is one of the most frequently performed gynaecological procedures and its associated pain has always been a problem in gynaecology. Here we studied the analgesic efficacy of lidocaine spray and paracervical block (PCB) in patients undergoing first-trimester surgical abortion. A randomised double-blind

2016 Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology Controlled trial quality: uncertain

23. Effectiveness of Intrauterine Lignocaine in Addition to Paracervical Block for Pain Relief during Dilatation and Curettage, and Fractional Curettage. (Full text)

Effectiveness of Intrauterine Lignocaine in Addition to Paracervical Block for Pain Relief during Dilatation and Curettage, and Fractional Curettage. Dilatation and curettage (D&C) and fractional curettage (F/C) are commonly performed gynecological procedures. Randomized controlled trials have concluded that topical anesthesia effectively reduces pain in endometrial sampling and hysteroscopy. Our study was aimed at investigating this modality of pain relief in setting of a developing country (...) where, due to lack of resources, successful completion of these procedures in an outpatient setting is a necessity.This study was a prospective, randomized, placebo-controlled, double-blind study conducted in 84 patients. All patients received either intrauterine 2 % lignocaine or normal saline along with oral NSAID and paracervical block prior to the procedure. The pain was analyzed at three steps: at the time of curette, immediately post-procedure, and 30 min later using 10-cm visual analog

2016 Journal of obstetrics and gynaecology of India Controlled trial quality: uncertain PubMed abstract

24. Lidocaine-Prilocaine Cream in Conjunction With Paracervical Block for Pain With Abortion

Lidocaine-Prilocaine Cream in Conjunction With Paracervical Block for Pain With Abortion Lidocaine-Prilocaine Cream in Conjunction With Paracervical Block for Pain With Abortion - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies (...) before adding more. Lidocaine-Prilocaine Cream in Conjunction With Paracervical Block for Pain With Abortion The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03508804 Recruitment Status : Withdrawn (Lack of funding.) First Posted : April 26, 2018 Last Update Posted : May 16, 2018 Sponsor: Stanford

2016 Clinical Trials

25. Gabapentin as an Adjunct to Paracervical Block for Perioperative Pain Management

Gabapentin as an Adjunct to Paracervical Block for Perioperative Pain Management Gabapentin as an Adjunct to Paracervical Block for Perioperative Pain Management - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding (...) more. Gabapentin as an Adjunct to Paracervical Block for Perioperative Pain Management (Gaba) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02944656 Recruitment Status : Completed First Posted : October 26, 2016 Last Update Posted : September 12, 2018 Sponsor: Emory University Collaborator

2016 Clinical Trials

26. Refining paracervical block techniques for pain control in first trimester surgical abortion. A randomized controlled noninferiority trial. (Abstract)

Refining paracervical block techniques for pain control in first trimester surgical abortion. A randomized controlled noninferiority trial. Our objective was to evaluate two different aspects of the paracervical block (PCB) technique for first trimester surgical abortion, to compare a 3-min wait prior to cervical dilation to no wait and to compare four-site with two-site injection.We conducted two consecutive randomized, single-blinded noninferiority trials. In the first trial, women <11 weeks (...) to waiting 3-min prior to cervical dilation for dilation pain [VAS: 63 mm (SD, 24 mm) vs. 56 mm (SD, 32mm)] and as to whether a two-site PCB was noninferior to a four-site block [VAS: 68 mm (SD, 21 mm) vs. 60 mm (SD, 30 mm)]. Noninferiority analysis was inconclusive because the confidence interval of the mean pain score difference between groups included the predefined inferiority margin of 13-mm pain difference. Superiority analysis showed the four-site PCB to be superior to the two-site PCB.It remained

2016 Contraception Controlled trial quality: predicted high

27. Paracervical block as pain treatment during second-trimester medical termination of pregnancy: an RCT with bupivacaine versus sodium chloride. (Full text)

Paracervical block as pain treatment during second-trimester medical termination of pregnancy: an RCT with bupivacaine versus sodium chloride. Can paracervical block (PCB) administered before the onset of pain decrease women's pain experience during second-trimester medical termination of pregnancy (MToP)?There were no clinically significant differences between groups receiving PCB with bupivacaine or saline with regard to the highest and lowest pain intensity, morphine consumption or induction (...) ) ≥7] was 63%. A clinically significant reduction was considered to yield 35% with severe pain, and with a power of 80% and significance level of 5% (two-sided) 112 women were needed. Accounting for a 20% drop-out rate, a total of 140 women were needed. The primary outcome, pain intensity measured as any VAS ≥7, was analysed using a generalized estimating equations model. The level of significance was set to P < 0.05 two-sided. A computer generated randomization list with block size of 10 was used

2015 Human Reproduction Controlled trial quality: predicted high PubMed abstract

28. Paracervical Block for Pain Associated With Laminaria Insertion

Paracervical Block for Pain Associated With Laminaria Insertion Paracervical Block for Pain Associated With Laminaria Insertion - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Paracervical Block for Pain (...) Soon, University of Hawaii Study Details Study Description Go to Brief Summary: To assess if paracervical block is effective at reducing discomfort during placement of intracervical laminaria for pre-operative cervical preparation. Condition or disease Intervention/treatment Phase Pain Drug: Paracervical Block with lidocaine Drug: Sham paracervical block Not Applicable Detailed Description: Pre-operative dilation of the cervix with use of osmotic dilators (e.g. laminaria, dilapan-S) is commonly

2015 Clinical Trials

29. Hemodynamic Stability of Bupivacaine With and Without Adrenaline for Paracervical Block for Cervical Conization

Hemodynamic Stability of Bupivacaine With and Without Adrenaline for Paracervical Block for Cervical Conization Hemodynamic Stability of Bupivacaine With and Without Adrenaline for Paracervical Block for Cervical Conization - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved (...) studies (100). Please remove one or more studies before adding more. Hemodynamic Stability of Bupivacaine With and Without Adrenaline for Paracervical Block for Cervical Conization (HSBAPCB) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02368054 Recruitment Status : Completed First Posted : February

2015 Clinical Trials

30. Parenterally administered moderate sedation and paracervical block versus general anesthesia for hysteroscopic polypectomy: a pilot study comparing postoperative outcomes. (Abstract)

Parenterally administered moderate sedation and paracervical block versus general anesthesia for hysteroscopic polypectomy: a pilot study comparing postoperative outcomes. To compare parenterally administered moderate sedation and paracervical block versus general anesthesia during day-case operative hysteroscopy for polypectomy in terms of patients' postoperative pain perception, operating time, and postoperative drug administration.A pilot study (Canadian Task Force classification I (...) ).A university hospital.Women undergoing hysteroscopic polypectomy procedures (N = 56).Hysteroscopic polypectomy with general anesthesia or moderate parenteral sedation and paracervical block.The patients were divided into 2 groups: 26 underwent general anesthesia (group 1), and 30 were submitted to moderate parenteral sedation and a paracervical block (group 2). General anesthesia was induced with the laryngeal mask airway with propofol (1% 1-2.5 mg/kg) and fentanyl (1-2 μg/kg) and maintained

2015 Journal of minimally invasive gynecology Controlled trial quality: uncertain

31. Paracervical Block for Pain Control With Osmotic Dilator Placement

Paracervical Block for Pain Control With Osmotic Dilator Placement Paracervical Block for Pain Control With Osmotic Dilator Placement - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Paracervical Block (...) the cervix (paracervical block) may decrease this placement pain. Condition or disease Intervention/treatment Phase Abortion Late Pain Procedure: Local anesthetic for tenaculum placement Procedure: Sham Procedure: Paracervical Block Procedure: Dilator Placement Behavioral: Post-procedural assessment Drug: Preprocedural pain control Not Applicable Detailed Description: It is estimated that 1.21 million abortions were performed in 2008. Of these, approximately 11% occurred in the second trimester and 1.4

2015 Clinical Trials

32. Comparison of the efficacy of intrauterine lidocaine, paracervical block and oral etodolac for decreasing pain in endometrial biopsy. (Full text)

Comparison of the efficacy of intrauterine lidocaine, paracervical block and oral etodolac for decreasing pain in endometrial biopsy. To compare the effectiveness of paracervical block, intrauterine lidocaine and oral etodolac in decreasing the pain caused by pipelle endometrial sampling. A secondary goal of this study was to determine the adverse effects and compare possible effects of these methods on pulse and blood pressure.The study was performed between April 2006 and October 2006 (...) in the Obstetrics and Gynecology Department of Van Yüzüncü Yıl University Research Hospital. One-hundred twenty patients were randomized into four groups: 1. Group: Paracervical block was performed with 3 ml 2% prilocaine solution. 2. Group: Five ml of 2% lidocaine solution was instilled through the endocervix into the uterine cavity. 3. Group: Subjects received 400 mg oral etodolac tablet 1-1.5 hour before the procedure. 4. Group: No method of anesthesia was used in the control group. Endometrial sampling

2014 Journal of the Turkish German Gynecological Association Controlled trial quality: uncertain PubMed abstract

33. Pain Control for Intrauterine Device Placement Using Paracervical Block

Pain Control for Intrauterine Device Placement Using Paracervical Block Pain Control for Intrauterine Device Placement Using Paracervical Block - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Pain Control (...) for Intrauterine Device Placement Using Paracervical Block The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02219308 Recruitment Status : Completed First Posted : August 18, 2014 Last Update Posted : March 15, 2018 Sponsor: University of California, San Diego Information provided by (Responsible Party): Sheila

2014 Clinical Trials

34. Comparing the efficacy of intrauterine lidocaine and paracervical block in decreasing the pain associated with endometrial biopsy: a randomised trial. (Abstract)

Comparing the efficacy of intrauterine lidocaine and paracervical block in decreasing the pain associated with endometrial biopsy: a randomised trial. Almost 50% of the patients experience moderate-to-severe pain during endometrial biopsy. The study aimed to examine the effectiveness of intrauterine lidocaine for relieving pain during endometrial biopsy.A randomised trial was conducted in 120 patients undergoing endometrial biopsy. Sixty-seven women were assigned to the paracervical block group (...) in the intrauterine group than in the paracervical group (p = 0.0001).Compared to paracervical block, intrauterine lidocaine may be the preferred anaesthesia for endometrial biopsy, and it does not cause any serious complications.

2014 Archives of gynecology and obstetrics Controlled trial quality: uncertain

35. Can the addition of a paracervical block to systemic or local analgesics improve the pain perceived by the patient during hysterosalpingography? (Abstract)

Can the addition of a paracervical block to systemic or local analgesics improve the pain perceived by the patient during hysterosalpingography? The aim of the present study was to investigate whether the addition of a paracervical block to local intrauterine anaesthesia or the use of an intramuscular non-steroidal anti-inflammatory drug was effective for pain control during and at 30 min after hysterosalpingography (HSG). A total of 120 patients undergoing hysterosalpingography were randomised (...) into four groups. Patients received intramuscular dexketoprofen trometamol with or without a paracervical block or intracavitary lidocaine instillation with or without paracervical block. The primary outcome was the overall pain score from the four stages of the procedure. The lowest pain scores were observed in the patients receiving dexketoprofen trometamol with a paracervical block, whereas the highest pain scores were observed in patients with intracavitary lidocaine instillation without

2014 Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology Controlled trial quality: uncertain

36. Comparison of Lidocaine Spray and Paracervical Block Application for Pain Relief During First-trimester Surgical Abortion: a Randomized, Double-blind, Placebo-controlled Trial

Comparison of Lidocaine Spray and Paracervical Block Application for Pain Relief During First-trimester Surgical Abortion: a Randomized, Double-blind, Placebo-controlled Trial Comparison of Lidocaine Spray and Paracervical Block Application for Pain Relief During First-trimester Surgical Abortion: a Randomized, Double-blind, Placebo-controlled Trial - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information (...) . Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Comparison of Lidocaine Spray and Paracervical Block Application for Pain Relief During First-trimester Surgical Abortion: a Randomized, Double-blind, Placebo-controlled Trial The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does

2013 Clinical Trials

37. Effectiveness of Paracervical Block Versus Lidocaine Spray During Endometrial Biopsy

Effectiveness of Paracervical Block Versus Lidocaine Spray During Endometrial Biopsy Effectiveness of Paracervical Block Versus Lidocaine Spray During Endometrial Biopsy - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before (...) adding more. Effectiveness of Paracervical Block Versus Lidocaine Spray During Endometrial Biopsy The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT01908738 Recruitment Status : Completed First Posted : July 26, 2013 Last Update Posted : February 23, 2017 Sponsor: Mahidol University Information provided

2013 Clinical Trials

38. Paracervical Block

Paracervical Block Paracervical Block Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Paracervical Block Paracervical Block Aka (...) : Paracervical Block II. Indications Rarely used in labor now due to PPCBB (see below) Pain relief for uterine contractions early first stage for D&C in III. Mechanism Blocks levels T10 to L1 IV. Preparation Syringe: 10 cc control syringe Needle: 20 gauge spinal needle Anesthetic: 2% or 2% Chloroprocaine V. Procedure Prepare Expose with medium Graves speculum Use antiseptic over and posterior fornix Apply single toothed tenaculum to anterior lip Transvaginal injection of local anesthetic Inject lateral

2015 FP Notebook

39. Utility of anesthetic block for endometrial ablation pain: a randomized controlled trial (Full text)

controlled trial found that local anesthetic with low risk for complications, used in conjunction with general anesthesia, decreased postoperative pain at 1 hour and significantly reduced postoperative narcotic use following endometrial ablation. Further research is needed to determine whether the study results are generalizable and whether post procedure is the best time to administer the paracervical block to decrease endometrial ablation pain.Copyright © 2017 Elsevier Inc. All rights reserved. (...) Utility of anesthetic block for endometrial ablation pain: a randomized controlled trial Second-generation endometrial ablation has been demonstrated safe for abnormal uterine bleeding treatment, in premenopausal women who have completed childbearing, in short-stay surgical centers and in physicians' offices. However, no standard regarding anesthesia exists, and practice varies depending on physician or patient preference and hospital policy and setting.The aim of this study was to evaluate

2018 EvidenceUpdates PubMed abstract

40. Paracervical Block During II-trimester Abortion

Paracervical Block During II-trimester Abortion Paracervical Block During II-trimester Abortion - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Paracervical Block During II-trimester Abortion The safety (...) ) Primary Purpose: Treatment Official Title: Paracervical Block (PCB) During II-trimester Abortion- A Randomized Controlled Trial Study Start Date : May 2012 Actual Primary Completion Date : May 2015 Actual Study Completion Date : May 2015 Arms and Interventions Go to Arm Intervention/treatment Active Comparator: Bupivacain Drug: bipuvacain PCB with 20ml bupivakain or sodium cloride 9mg/ml will be administered one hour following misorpostol administration (first dose). Other Name: (Marcain® 2,5mg/ml

2012 Clinical Trials

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