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Paracervical Block

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41. 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

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

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

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2012 Experimental and therapeutic medicine Controlled trial quality: uncertain

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

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

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2012 Obstetrics and Gynecology Controlled trial quality: predicted high

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

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. Utility of anesthetic block for endometrial ablation pain: a randomized controlled trial

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

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2018 EvidenceUpdates

46. Paracervical local anaesthesia for cervical dilatation and uterine intervention. (PubMed)

in the 17 included studies. Some studies reported that women experienced severe pain (mean scores of 7 to 9 out of 10) during uterine intervention, irrespective of the analgesic technique used. We concluded that the available evidence fails to show whether paracervical block is inferior, equivalent or superior to alternative analgesic techniques, in terms of efficacy and safety, for women undergoing uterine interventions. (...) Paracervical local anaesthesia for cervical dilatation and uterine intervention. Cervical dilatation and uterine intervention can be performed under sedation, local or general anaesthesia for obstetrics and gynaecological conditions. Many gynaecologists use paracervical local anaesthesia (PLA) but its effectiveness is unclear.To determine the effectiveness and safety of paracervical anaesthesia for cervical dilatation and uterine intervention when compared with no treatment, placebo, other

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2009 Cochrane

47. Intracervical block for levonorgestrel-releasing intrauterine system placement among nulligravid women: a randomized double-blind controlled trial. (PubMed)

Intracervical block for levonorgestrel-releasing intrauterine system placement among nulligravid women: a randomized double-blind controlled trial. Fear of pain during the insertion of intrauterine contraceptives is a barrier to using these methods, especially for nulligravidas. An intracervical block may be easier and more reproducible than a paracervical block; however, this intervention has not been evaluated in nulligravid women to reduce pain with intrauterine contraceptive insertion.To (...) evaluate whether a 3.6mL 2% lidocaine intracervical block reduces pain at tenaculum placement and levonorgestrel-releasing intrauterine system insertion among nulligravidas. Additionally, to assess whether the intracervical block has any effect on the ease of device insertion and on the overall experience with the procedure.In this randomized, double-blind, controlled trial, nulligravidas were block-randomized to one of three arms prior to 52mg levonorgestrel-releasing intrauterine system insertion

2019 American Journal of Obstetrics and Gynecology

48. Refining Paracervical Block Techniques for Pain Control in First Trimester Surgical Abortion

Refining Paracervical Block Techniques for Pain Control in First Trimester Surgical Abortion Refining Paracervical Block Techniques for Pain Control in First Trimester Surgical 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. Refining Paracervical Block Techniques for Pain Control in First Trimester Surgical 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: NCT01466491 Recruitment Status : Completed First Posted : November 8, 2011 Results First Posted : July 25, 2017 Last Update Posted : July

2011 Clinical Trials

49. Lidocaine spray in addition to paracervical block reduces pain during first-trimester surgical abortion: a placebo-controlled clinical trial. (PubMed)

Lidocaine spray in addition to paracervical block reduces pain during first-trimester surgical abortion: a placebo-controlled clinical trial. A variety of anesthetic and analgesic techniques have been used for uterine aspiration, and most clinicians use a paracervical block with or without additional analgesia. We intended to evaluate whether the addition of 10% lidocaine spray to a paracervical block decreases pain during cervical dilation and uterine aspiration.Seventy-seven patients were (...) divided into two groups: paracervical blocks (PCB) (n = 30) and PCB plus 10% lidocaine spray (n = 47). Anticipated and overall perceived pain scores were measured with a standard Visual Analog Scale (VAS).Anticipated pain VAS scores of two groups were similar, however overall perceived pain VAS scores demonstrated a significant difference. PCB with Lidocaine only group had 6.56 ± 1.43 cm mean VAS score, whereas lidocaine plus lidocaine spray group had 2.35 ± 1.39 cm, the difference being statistically

2011 Contraception Controlled trial quality: uncertain

50. Effectiveness of paracervical block versus intravenous morphine during uterine curettage: a randomized controlled trial. (PubMed)

Effectiveness of paracervical block versus intravenous morphine during uterine curettage: a randomized controlled trial. Abnormal uterine bleeding is a common gynecologic problem. Fractional curettage, evacuation and curettage, and dilatation curettage are common gynecologic procedures for investigation and treatment of abnormal uterine bleeding. To perform all these procedures, anesthesia is needed but technique varies among hospitals. The standard procedure of uterine curettage was performed (...) after paracervical block or intravenous morphine injection.To compare pain scores during and after uterine curettage using intravenous morphine versus paracervical blockA randomized controlled trial study was performed. Sixty-four patients with abnormal uterine bleeding and indication for curettage were enrolled in the present study. Simple randomized procedure was used to distribute the patients into two groups. Intravenous morphine was carried out in 32 patients as the group A while paracervical

2011 Journal of the Medical Association of Thailand = Chotmaihet thangphaet Controlled trial quality: uncertain

51. Paracervical Block in Obstetrics and Gynecology (PubMed)

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

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1966 California Medicine

52. The Use of Paracervical Block Anesthesia for Dilatation and Curettage (PubMed)

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.

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1966 Canadian Medical Association Journal

53. Paracervical Block Anesthesia in Labour (PubMed)

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.

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1966 Canadian Medical Association Journal

54. Paracervical Nerve Block (PubMed)

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

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1963 British medical journal

55. Paracervical Nerve Block in Obstetrics (PubMed)

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

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1963 Proceedings of the Royal Society of Medicine

56. Assessment of Paracervical Nerve Block Anaesthesia during Labour (PubMed)

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.

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1970 British medical journal

57. Paracervical block with bupivacaine. (PubMed)

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

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1968 British medical journal

58. Paracervical block with bupivacaine. (PubMed)

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

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1968 British medical journal

59. Paracervical block with bupivicaine. (PubMed)

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

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1968 British medical journal

60. Paracervical block with bupivacaine 0.25 per cent. (PubMed)

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

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1968 British medical journal

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