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Paracervical Block

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61. Bupivacaine in Paracervical Block (Full text)

Bupivacaine in Paracervical Block 4952985 1969 01 17 2018 11 13 0035-9157 61 11 Part 1 1968 Nov Proceedings of the Royal Society of Medicine Proc. R. Soc. Med. Bupivacaine in paracervical block. 1158-9 Scott D B DB Galloway R K RK Lees M M MM Livingstone J R JR eng Journal Article England Proc R Soc Med 7505890 0035-9157 0 Anesthetics 0 Anesthetics, Local IM Anesthesia, Conduction Anesthetics therapeutic use Anesthetics, Local adverse effects Bradycardia etiology Female Fetus Humans Labor

1968 Proceedings of the Royal Society of Medicine PubMed abstract

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

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 PubMed abstract

63. Para-cervical Block Prior to Laparoscopic Hysterectomy as an Adjuvant Treatment to Reduce Postoperative Pain.

First Posted : November 15, 2018 Last Update Posted : November 15, 2018 Sponsor: University of Tennessee Information provided by (Responsible Party): University of Tennessee Study Details Study Description Go to Brief Summary: This is a prospective randomized controlled trial in which patients that are scheduled to undergo a laparoscopic hysterectomy would be allocated to one of two groups: Paracervical block with local anesthetic (bupivacaine 0.5%), or placebo. This would be achieved using block (...) Undergoing additional procedures at the time of surgery (except prophylactic McCall culdoplasty/uterosacral ligament suspension, excision of endometriosis, appendectomy, cystoscopy) Inability to perform paracervical block due to anatomic abnormalities (absent/flush cervix) Known allergy/sensitivity to bupivacaine Intraoperative bowel injury, bladder injury, ureter injury or major vessel injury that required repair. Contacts and Locations Go to Information from the National Library of Medicine To learn

2017 Clinical Trials

64. Le bloc paracervical en obstétrique (Full text)

Le bloc paracervical en obstétrique Local anesthesia can be very useful in the first stage of labour when a general anesthetic cannot be given during this stage, and it is associated with reduced respiratory depression in the fetus. Paracervical block anesthesia is one such method of local anesthesia. Its successful use depends upon a proper technique, knowledge of the indications and contraindications, appropriate equipment and use of a long-acting anesthetic agent of low toxicity. A series (...) of 90 cases of paracervical block are described in which the success rate was 90 to 95%.

1966 Canadian Medical Association Journal PubMed abstract

65. Paracervical block efficacy in office hysteroscopic sterilization: a randomized controlled trial (Abstract)

Paracervical block efficacy in office hysteroscopic sterilization: a randomized controlled trial To estimate the efficacy of paracervical block compared with saline for pain relief during office hysteroscopic sterilization.This study was a randomized, placebo-controlled study of women desiring hysteroscopic sterilization. A paracervical block of 1% lidocaine or normal saline was administered before office hysteroscopic sterilization. Patients and investigators were blinded to assignments. A pre (...) to procedural time (P=.047) and to group assignment (P<.01).Paracervical block with 1% lidocaine provides effective pain relief for cervical manipulations during office hysteroscopic sterilization, but does not reduce the pain associated with upper uterine/tubal manipulation when placing the devices.ClinicalTrials.gov, www.clinicaltrials.gov, NCT00811187.I.

2010 EvidenceUpdates Controlled trial quality: predicted high

66. Paracervical block with combined ketorolac and lidocaine in first-trimester surgical abortion: a randomized controlled trial (Abstract)

Paracervical block with combined ketorolac and lidocaine in first-trimester surgical abortion: a randomized controlled trial To study the effects of a paracervical block with combined ketorolac and lidocaine on perceived pain during first-trimester surgical abortion.A double-masked, placebo-controlled, randomized clinical trial of 50 women undergoing first-trimester surgical abortions (before 11 weeks of gestation) received either oral ibuprofen with a lidocaine-alone paracervical block (...) or an oral placebo and paracervical block with combined ketorolac and lidocaine. Women completed a series of 100-mm visual analog scales (anchors: 0=none, 100 mm=worst imaginable) to measure their perceived pain (anticipated pain, pain during and after surgical abortion, and total satisfaction).Twenty-five women received preoperative oral ibuprofen followed by paracervical block with lidocaine alone, and 25 received oral placebo followed by paracervical block with combined ketorolac and lidocaine. Groups

2010 EvidenceUpdates Controlled trial quality: predicted high

67. Role of Intrauterine Cornual Block in Combination With Direct Cervical Block in Outpatient Endometrial Ablation

of hospital stay and recovery. Various methods of LA have been studied including intrauterine topical lignocaine or cervical block using topical lignocaine, paracervical block or intracervical block. However, a single site block individually may not be sufficient to control the pain completely due to inability of the one site block to affect the sensitivity of the whole uterus, as the uterine fundus is effectively still unanaesthetised. This may be due to the uterus receiving complex innervations from (...) Role of Intrauterine Cornual Block in Combination With Direct Cervical Block in Outpatient Endometrial Ablation Role of Intrauterine Cornual Block in Combination With Direct Cervical Block in Outpatient Endometrial Ablation - 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

2013 Clinical Trials

68. 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

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

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

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

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

71. Local anaesthetic nerve block for pain management in labour. (Abstract)

Local anaesthetic nerve block for pain management in labour. Local anaesthetic nerve block is an important modality for pain management in labour. Pudendal and paracervical block (PCB) are most commonly performed local anaesthetic nerve blocks which have been used for decades.To establish the efficacy and safety of local anaesthetic nerve blocks for pain relief in labour.We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (28 February 2012).We included randomised (...) controlled trials (RCTs) assessing pain management in labour with the use of local anaesthetic nerve blocks. We did not include results from quasi-RCTs.We designed a form to extract data. For eligible studies, two review authors extracted the data using the agreed form. We resolved discrepancies through discussion or, if required, we consulted a third person. We entered and analysed data using Review Manager software and checked for accuracy.We found 41 trials for consideration of inclusion

2012 Cochrane database of systematic reviews (Online)

72. Paracervical Block Before Intrauterine Device (IUD) Insertion

Paracervical Block Before Intrauterine Device (IUD) Insertion Paracervical Block Before Intrauterine Device (IUD) 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 Before (...) ): Jessica Kiley, Northwestern University Study Details Study Description Go to Brief Summary: The purpose of this study is to evaluate if a paracervical block containing 1% lidocaine administered prior to IUD insertion reduces insertion pain. The hypothesis is that women receiving paracervical analgesia will experience less pain during IUD insertion than those who do not receive such analgesia. Condition or disease Intervention/treatment Phase Pain Control for Intrauterine Device Insertions Drug

2010 Clinical Trials

73. Paracervical Block for Pain Control in First Trimester Abortion

Paracervical Block for Pain Control in First Trimester Abortion Paracervical Block for Pain Control in First 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 for Pain (...) : Oregon Health and Science University Collaborator: Planned Parenthood Federation of America Information provided by: Oregon Health and Science University Study Details Study Description Go to Brief Summary: Many woman undergoing a surgical abortion receive a paracervical nerve block for pain reduction, in which lidocaine (a numbing medication) is injected around the cervix. These injections numb the cervix and possibly the lower part of the uterus. However, the injection can be uncomfortable

2010 Clinical Trials

74. Recommendations for good practice in Ultrasound: Oocyte retrieval (Full text)

standards and local regulations. The following equipment for OPU should be available on a sterile operation table: sterile small gauzes and a disposable or reusable speculum for cervical examination and to visualize any bleeding site. Furthermore, a test tube warmer and heating block should be available (at 37°C), and culture medium for flushing should be prepared and ready at 37°C. Additional equipment and consumables that might be used during OPU should also be available in the procedure room (...) and effective alternative to bolus administration ( ). Local anaesthesia A para-cervical block can be applied in addition to sedation, as pain relief during the OPU. It appears to be superior when compared with sedation alone ( ). A local anaesthetic agent is usually deposited in four locations around the cervix in the vaginal mucosa. In total 100 mg lidocaine (10 ml of 1% lidocaine, xylocaine 10 mg/ml) is injected at two (3 and 9 o’clock) or four points around the cervix. Other authors employ two para

2020 European Society of Human Reproduction and Embryology PubMed abstract

75. Coronavirus (COVID-19) infection and abortion care

. paracervical block) 47 48 , conscious sedation or intravenous sedation 49 50 51 . Medical abortion regimens using 200 mg oral mifepristone and misoprostol are effective and appropriate at any gestation 52 53 . Many Trusts only offer medical abortion in the second trimester for termination in cases of fetal anomaly. However, if theatre capacity becomes increasingly restricted, services should consider retaining or expanding access to second trimester abortion services for all women. Second trimester medical (...) ). NG140. 25-9-2019. London, NICE. NICE Guideline. www.nice.org.uk/guidance/ng140. Date accessed: 16-11-2019 47 Allen, R. H. and Goldberg, A. B. Cervical dilation before first-trimester surgical abortion (<14 weeks’ gestation). SFP Guideline 20071. Contraception 2007;76:139-56.PM:17656184 48 IPAS. Paracervical Block Technique. 2019. www.ipas.org/resources/paracervical-block-technique. Date accessed: 14-3- 2020 49 NICE. Abortion Care. National Institute for Health and Care Excellence (NICE). NG140. 25-9

2020 Royal College of Obstetricians and Gynaecologists

76. Ketorolac-mepivacaine lower uterine block for in-office endometrial ablation: a randomized, controlled trial. (Abstract)

Ketorolac-mepivacaine lower uterine block for in-office endometrial ablation: a randomized, controlled trial. To investigate the effectiveness of a nonsteroidal antiinflammatory drug (NSAID) administered in combination with a local anesthetic as a deep paracervical block for in-office endometrial ablations.Double-blind, placebo-controlled, randomized trial. Patients received either sublingual ketorolac (30 mg/1 mL) or a mepivacaine-only paracervical injection (standard group) or received (...) sublingual saline (1 mL) and a ketorolac (30 mg/1 mL)-mepivacaine paracervical block (NSAID group)for Gynecare Thermachoice III ablation (Ethicon, Inc., Somerville, New Jersey). All received sublingual ketorolac/placebo and 1 mg alprazolam sublingually 20 minutes preprocedure. Primary outcome was intraoperative pain control measured by 100 mm visual analogue scale. Secondary outcomes were postablation pain control (visual analogue scale [VAS]), postoperative use of narcotic analgesics and patient

2011 Journal of Reproductive Medicine Controlled trial quality: predicted high

77. The Use of Hysteroscopy for the Diagnosis and Treatment of Intrauterine Pathology

antiinflammatory drug, acetaminophen, a benzodiazepine, an opiate, and an intracervical or paracervical block, or both. On the basis of the currently available evidence, there is no clinically significant difference in safety or effectiveness of these regimens for pain management when compared with each other or placebo . Paracervical blocks have been shown to decrease pain at the time of tenaculum placement and passage of the hysteroscope through the external and internal os . Other evidence has shown

2020 American College of Obstetricians and Gynecologists

78. Pain relief for women undergoing oocyte retrieval for assisted reproduction. (Full text)

) or airway obstruction (OR 0.14, 95% CI 0.02 to 1.22, one RCT, 58 women). Fewer women needed mask ventilation in the CSA group (OR 0.05, 95% CI 0.01 to 0.20, one RCT, 58 women).Evidence was also insufficient to show whether groups differed in satisfaction rates (OR 0.66, 95% CI 0.11 to 4.04, two RCTs, 108 women, I2 = 34%; very low-quality evidence).Trialists provided no usable data for outcomes of interest.2. CSA + paracervical block (PCB) versus other interventions.CSA + PCB versus electroacupuncture (...) in providing effective conscious sedation and analgesia for pain relief during and after oocyte retrieval. Simultaneous use of sedation combined with analgesia such as the opiates, further enhanced by paracervical block or acupuncture techniques, resulted in better pain relief than occurred with one modality alone. Evidence was insufficient to show conclusively whether any of the interventions influenced pregnancy rates. All techniques reviewed were associated with a high degree of patient satisfaction

2018 Cochrane PubMed abstract

79. Intrapartum fetal surveillance

–A) less than 0.4 MoM) associated with an increased risk of poor perinatal outcomes (e.g. stillbirth, infant death, FGR, preterm birth and preeclampsia in a chromosomally normal fetus 15 ) · Vasa praevia Intrapartum 2 · Induction of labour with Prostaglandin · Abnormal auscultation or CTG · Oxytocin induction/augmentation · Regional analgesia (epidural or spinal) and paracervical block · Abnormal vaginal bleeding in labour · Maternal pyrexia (greater than or equal to 38 o C) · Meconium or blood stained (...) or more of the following antenatal or intrapartum indications are present in labour, CEFM is recommended 2 because of the synergistic effect on the woman: · 41 to 41 + 6 weeks gestation · Gestational hypertension · Gestational Diabetes Mellitus (GDM) without complicating factors · Obesity (BMI 30–40 kg/m 2 ) · Maternal age greater than or equal to 40 and less than 42 years · Maternal pyrexia (temperature 37.8 o C or 37.9 o C) · Prior to epidural block to establish baseline features 2 3 Fetal heart

2019 Queensland Health

80. Perioperative Pathways: Enhanced Recovery After Surgery

statistically significant differences in mean postoperative pain scores ( ). The strategy of postoperative minimization of opioid use reduces nausea and vomiting, impairment of bowel function, delayed mobilization, and pulmonary morbidity ( ). Regimens designed to minimize postoperative opioid use also may include the use of scheduled acetaminophen, gabapentin, and nonsteroidal antiinflammatory drugs. For vaginal hysterectomy, paracervical nerve blocks or intrathecal morphine may be useful. For open general (...) hysterectomy ( ). Intraoperatively, epidural and spinal anesthesia strategies, when compared with general anesthesia, decrease overall mortality and postoperative complications, including VTE, blood loss, pneumonia and respiratory depression, myocardial infection, and renal failure ( ), although such strategies limit mobilization. However, epidural and spinal anesthesia strategies are not feasible or appropriate for all surgical procedures. The transversus abdominis plane block (commonly referred

2018 American College of Obstetricians and Gynecologists

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