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Paracervical Block

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41. Effect of Paracervical Block on Post Operative Pain in Laparoscopic Gynecologic Surgery

Effect of Paracervical Block on Post Operative Pain in Laparoscopic Gynecologic Surgery Effect of Paracervical Block on Post Operative Pain in Laparoscopic Gynecologic Surgery - 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. Effect of Paracervical Block on Post Operative Pain in Laparoscopic Gynecologic Surgery 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: NCT01534416 Recruitment Status : Completed First Posted : February 16, 2012 Results First Posted : December 20, 2017 Last Update Posted : December 20

2012 Clinical Trials

42. Transcervical intrauterine levobupivacaine infusion or paracervical block for pain control during endometrial biopsy. (Full text)

Transcervical intrauterine levobupivacaine infusion or paracervical block for pain control during endometrial biopsy. The aim of this study was to determine pain during endometrial biopsy by comparing the use of intrauterine instillation of levobupivacaine or paracervical block with a placebo in a randomized, double-masked trial in premenopausal and postmenopausal women. A total of 90 women were enrolled in the study. Patients were allocated to either the control or case groups. Group 1 (...) consisted of 30 cases with intrauterine anesthesia with 5 ml 0.5% levobupivacaine. Group 2 consisted of 30 patients who underwent paracervical block with lidocaine. No analgesic agent was given to the remaining 30 patients; these cases comprised the control group. The primary outcome measures were pain or discomfort experienced during the procedure. When the pain scores of the different groups were compared, the scores in the intrauterine levobupivacaine and paracervical block groups were found

2012 Experimental and therapeutic medicine Controlled trial quality: uncertain PubMed abstract

43. Paracervical block for pain control in first-trimester surgical abortion: a randomized controlled trial. (Full text)

Paracervical block for pain control in first-trimester surgical abortion: a randomized controlled trial. Despite lack of efficacy data, the majority of first-trimester surgical abortions are performed with a paracervical block. Women may be unnecessarily exposed to a painful injection and potentially noxious medication. Our objective was to estimate the effect of a paracervical block and the effect of gestational age on patient pain perception.This was a randomized, single-blind trial (...) of patients undergoing abortion receiving paracervical block or sham stratified by gestational age (early: less than 8 weeks of gestation, n=60; late: 8-10 6/7 weeks of gestation, n=60). Premedicated with ibuprofen and lorazepam, all participants received 2 mL 1% buffered lidocaine injected at the tenaculum site followed by a slow, deep injection of 18 mL at four sites (block) or no injection (sham) with a 3-minute wait. The primary outcome was dilation pain (100-mm visual analog scale). Secondary

2012 Obstetrics and Gynecology Controlled trial quality: predicted high PubMed abstract

44. Pain control for intrauterine device insertion: a randomized trial of 1% lidocaine paracervical block. (Abstract)

Pain control for intrauterine device insertion: a randomized trial of 1% lidocaine paracervical block. This study was conducted to investigate the effects of a 1% lidocaine paracervical block on perceived patient pain during intrauterine device (IUD) insertion.We randomized 50 women undergoing IUD insertion to receive either a 10-mL 1% lidocaine paracervical block or no local anesthetic before IUD insertion. Women marked their pain on a 100-mm visual analogue scale (VAS) (0 mm = no pain, 100 mm (...) = worst pain possible) at various points of the procedure (speculum insertion, tenaculum placement, paracervical block administration, IUD insertion and 5 min postprocedure).Twenty-six women received the paracervical block before IUD insertion, and 24 received no local anesthesia. Groups were similar in age, parity, ethnicity, education and complications. Women who received the paracervical block reported a median VAS score of 24.0 mm with IUD insertion, and women who did not receive local anesthetic

2012 Contraception Controlled trial quality: uncertain

45. Paracervical block with bupivicaine (Full text)

Paracervical block with bupivicaine Ninety-five cases in which paracervical block was administered in labour are reported. These permitted comparison of the duration of analgesia provided by 1% lidocaine and 0.25% bupivicaine, with and without adrenalin.The dangers of paracervical block are reviewed and its role in modern obstetrics is discussed.

1974 Canadian Medical Association Journal PubMed abstract

46. Assessment of Paracervical Nerve Block Anaesthesia during Labour (Full text)

Assessment of Paracervical Nerve Block Anaesthesia during Labour An assessment of paracervical nerve block anaesthesia was made in 118 women during labour using 0.5% bupivacaine with 1:200,000 parts of adrenaline added. The 82 multiparae were each given a single block and the 36 primigravidae a continuous block to try to provide the sole means of analgesia throughout the first stage of labour.Only 48% of the primigravidae required no other form of analgesia, as against 72 (...) % of the multiparae.Complications included a 17% incidence of maternal haemorrhage during insertion of the continuous needle, an overall fetal bradycardia rate of 11%, and two perinatal deaths following single paracervical block. It is concluded that the use of continuous paracervical block should be discontinued, and that amide-type local anaesthetic agents should not be used for single paracervical block.

1970 British medical journal PubMed abstract

47. Important Advances in Paracervical Block Anesthesia (Full text)

Important Advances in Paracervical Block Anesthesia 18730962 2010 06 28 2018 11 13 0008-1264 119 1 1973 Jul California medicine Calif Med Important advances in paracervical block anesthesia. 61 Ralston D H DH Shnider S M SM eng Journal Article United States Calif Med 0410260 0008-1264 1973 7 1 0 0 1973 7 1 0 1 1973 7 1 0 0 ppublish 18730962 PMC1455396 Am J Obstet Gynecol. 1970 Jun 15;107(4):619-25 5423580 Acta Obstet Gynecol Scand Suppl. 1971;16:1-55 4949652

1973 California Medicine PubMed abstract

48. The Use of Paracervical Block Anesthesia for Dilatation and Curettage (Full text)

The Use of Paracervical Block Anesthesia for Dilatation and Curettage Paracervical block anesthesia was used for dilatation and curettage in 37 patients in situations where general anesthesia or sophisticated forms of conduction anesthesia were either unavailable or contraindicated. Ten millilitres of either 1% xylocaine or procaine or 5 ml. of 2% xylocaine was placed into each lateral fornix with a standard 6-inch, 20-gauge needle at a depth of six to 12 millimetres. The block's effect (...) was good in 34 cases and fair in three; there were no failures. No significant complications occurred. The necessity of guarding against and/or being prepared to treat local anesthetic sensitivity is recognized. Paracervical block proved to be a convenient, safe, simple and effective anesthetic technique for dilatation and curettage, including when other anesthetic techniques were contraindicated.

1966 Canadian Medical Association Journal PubMed abstract

49. Paracervical Block Anesthesia in Labour (Full text)

Paracervical Block Anesthesia in Labour The efficacy and safety of paracervical block anesthesia were studied in 153 patients in the first stage of labour. Transient decrease in uterine activity was noted in 77 patients. There was no acceleration in cervical dilatation following the block. The duration of action of the block in 80 primiparas was 31 to 120 minutes in 69, and over 120 minutes in five. In the 73 multiparas, 53 of the blocks lasted 31 to 90 minutes, eight from 90 to 120 minutes (...) , and two over 120 minutes. The results were good in 66 primiparas and 54 multiparas. The blocks failed in four primiparas and six multiparas. Twenty-six infants had low Apgar scores, but in none could this be related to the paracervical block. There were no significant fetal or maternal complications.

1966 Canadian Medical Association Journal PubMed abstract

50. Paracervical Block in Obstetrics and Gynecology (Full text)

Paracervical Block in Obstetrics and Gynecology Paracervical block anesthesia in the practice of obstetrics and gynecology is being used more and more often. It is accepted as a simple, safe and effective method. The author and his associates have used it in their private practice in more than three thousand patients. In almost all cases it completely relieves the pain of the first stage of labor, although additional anesthesia must be given for delivery. It is ideal for dilatation

1966 California Medicine PubMed abstract

51. Paracervical block with bupivacaine 0.25 per cent. (Full text)

Paracervical block with bupivacaine 0.25 per cent. 5649001 1968 07 04 2018 11 13 0007-1447 2 5602 1968 May 18 British medical journal Br Med J Paracervical block with bupivacaine 0.25 per cent. 403 Gudgeon D H DH eng Journal Article England Br Med J 0372673 0007-1447 0 Anesthetics, Local AIM IM Anesthesia, Obstetrical Anesthetics, Local Female Humans Labor, Obstetric Pregnancy 1968 5 18 1968 5 18 0 1 1968 5 18 0 0 ppublish 5649001 PMC1985960 Obstet Gynecol. 1956 Sep;8(3):270-7 13358997 Am J

1968 British medical journal PubMed abstract

52. Paracervical block with bupivicaine. (Full text)

Paracervical block with bupivicaine. 5749470 1969 01 30 2008 11 20 0007-1447 2 5604 1968 Jun 01 British medical journal Br Med J Paracervical block with bupivicaine. 561 Picton F C FC eng Journal Article England Br Med J 0372673 0007-1447 0 Anesthetics, Local AIM IM Anesthetics, Local Autonomic Nerve Block Bradycardia chemically induced Female Fetal Diseases chemically induced Humans Pregnancy 1968 6 1 1968 6 1 0 1 1968 6 1 0 0 ppublish 5749470 PMC1991849

1968 British medical journal PubMed abstract

53. Paracervical block with bupivacaine. (Full text)

Paracervical block with bupivacaine. 5658909 1968 08 20 2018 11 13 0007-1447 2 5605 1968 Jun 08 British medical journal Br Med J Paracervical block with bupivacaine. 622-3 Ruoss C C Beazley J M JM eng Journal Article England Br Med J 0372673 0007-1447 0 Anilides AIM IM Anilides adverse effects Bradycardia chemically induced Female Fetal Death chemically induced Humans Pregnancy 1968 6 8 1968 6 8 0 1 1968 6 8 0 0 ppublish 5658909 PMC1991760 Am J Obstet Gynecol. 1961 Jun;81:1094-8 13732017

1968 British medical journal PubMed abstract

54. Paracervical block with bupivacaine. (Full text)

Paracervical block with bupivacaine. 5656287 1968 08 07 2008 11 20 0007-1447 2 5607 1968 Jun 22 British medical journal Br Med J Paracervical block with bupivacaine. 764 Whitehouse D B DB eng Journal Article England Br Med J 0372673 0007-1447 0 Anesthetics, Local 0 Piperidines AIM IM Anesthesia, Obstetrical adverse effects Anesthetics, Local adverse effects Female Fetal Death chemically induced Humans Piperidines adverse effects Pregnancy 1968 6 22 1968 6 22 0 1 1968 6 22 0 0 ppublish 5656287

1968 British medical journal PubMed abstract

55. Paracervical block. (Full text)

Paracervical block. 5775241 1969 05 02 2018 11 13 0035-9157 62 2 1969 Feb Proceedings of the Royal Society of Medicine Proc. R. Soc. Med. Paracervical block. 183-5 Yates M J MJ eng Journal Article England Proc R Soc Med 7505890 0035-9157 0 Anilides 0 Pipecolic Acids 98PI200987 Lidocaine YKH834O4BH Epinephrine IM Anesthesia, Conduction Anesthesia, Obstetrical Anilides Cervix Uteri Epinephrine Female Fetal Heart drug effects Humans Labor, Obstetric Lidocaine Pipecolic Acids Pregnancy 1969 2 1

1969 Proceedings of the Royal Society of Medicine PubMed abstract

56. Paracervical Nerve Block (Full text)

Paracervical Nerve Block 14022854 1998 11 01 2018 12 01 0007-1447 1 5342 1963 May 25 British medical journal Br Med J Paracervical nerve block. A simple method of pain relief in labour. 1372-4 COOPER K K MOIR J C JC eng Journal Article England Br Med J 0372673 0007-1447 OM Anesthesia Anesthesia, Obstetrical Autonomic Nerve Block Female Humans Labor, Obstetric Pain Pregnancy ANESTHESIA, OBSTETRICAL AUTONOMIC NERVE BLOCK 1963 5 25 1963 5 25 0 1 1963 5 25 0 0 ppublish 14022854 PMC2124023 Obstet

1963 British medical journal PubMed abstract

57. Paracervical Nerve Block in Obstetrics (Full text)

Paracervical Nerve Block in Obstetrics 14098560 1996 12 01 2018 12 01 0035-9157 56 1963 Dec Proceedings of the Royal Society of Medicine Proc. R. Soc. Med. PARACERVICAL NERVE BLOCK IN OBSTETRICS. 1096-8 COOPER K K eng Journal Article England Proc R Soc Med 7505890 0035-9157 OM Anesthesia Anesthesia, Local Anesthesia, Obstetrical Autonomic Nerve Block Female Humans Obstetrics Pregnancy ANESTHESIA, LOCAL ANESTHESIA, OBSTETRICAL AUTONOMIC NERVE BLOCK PREGNANCY 1963 12 1 1963 12 1 0 1 1963 12 1 0 0

1963 Proceedings of the Royal Society of Medicine PubMed abstract

58. The effects of longacting paracervical block anesthesia on the abortifacient efficacy of intra-amniotic PGF2alpha and hypertonic saline. (Abstract)

The effects of longacting paracervical block anesthesia on the abortifacient efficacy of intra-amniotic PGF2alpha and hypertonic saline. A comparative study was conducted to evaluate the effects of repeated, longacting paracervical blocks on the abortifacient efficacy of intraamniotic prostaglandin F2alpha (PGF2alpha)-40 mg initially and an additional 20 mg after 24 hours--and hypertonic saline augmented with intravenous oxytocin, for patients at 16 to 20 weeks' gestation. Patients were (...) randomly assigned to the 2 abortion procedures, and one half (50) of the patients induced with each procedure received serial, longacting paracervical blocks. For those patients aborted with saline, the rates of complications, side effects, incomplete abortion, and cumulative abortion were similar for patients whether they did or did not receive paracervical blocks. Among the PGF2alpha-treated patients who were administered paracervical blocks, there was a significant reduction in the rates

1978 Acta Obstetricia et Gynecologica Scandinavica Controlled trial quality: uncertain

59. The shape of the amniotic pressure curve before and after paracervical block during labour. (Abstract)

The shape of the amniotic pressure curve before and after paracervical block during labour. Paracervical block (PCB) given during labour reduces the uterine activity necessary for cervical dilatation. The aim of the present investigation was to find out whether this effect of PCB changes the form of the amniotic pressure curve. A preliminary investigation showed that the ascending limb of the amniotic pressure curve, A, consists of three phases. The first phase shows an increasing slope (...) and after the block was compared. PCB without adrenaline brought about the same changes as it did with adrenaline, but the changes were smaller, only those of Aa, Ar, Dr and Ad + Da being statistically significant. The pressure curves of six patients receiving epidural block were examined using the same method as in the PCB and control groups. The changes typical of PCB did not occur after epidural block. The discovery of the six phases of the amniotic pressure curve, their change after PCB

1975 Acta obstetricia et gynecologica Scandinavica. Supplement Controlled trial quality: uncertain

60. Neurobehavioral response of infants after paracervical block during labour. (Abstract)

Neurobehavioral response of infants after paracervical block during labour. 30 parturient women were randomized into a group receiving paracervical block (PCB) and a control group. The infants were tested by a neurobehavioral examination immediately after birth, after 3 hours and 3 days. The examiner was unaware of the obstetrical management of the patients. No clinically significant differences could be detected between the two groups. Arterial and venous pO2, pCO2 and pH from the umbilical

1979 Acta Obstetricia et Gynecologica Scandinavica Controlled trial quality: uncertain

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