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Paracervical Block

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61. Bupivacaine in Paracervical Block (PubMed)

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

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1968 Proceedings of the Royal Society of Medicine

62. Paracervical block. (PubMed)

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

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1969 Proceedings of the Royal Society of Medicine

63. Important Advances in Paracervical Block Anesthesia (PubMed)

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

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1973 California Medicine

64. Paracervical block with bupivicaine (PubMed)

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.

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1974 Canadian Medical Association Journal

65. Neurobehavioral response of infants after paracervical block during labour. (PubMed)

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

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

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

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

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

68. Paracervical block efficacy in office hysteroscopic sterilization: a randomized controlled trial (PubMed)

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.

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2010 EvidenceUpdates Controlled trial quality: predicted high

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

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

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2010 EvidenceUpdates Controlled trial quality: predicted high

70. Utility of anesthetic block for endometrial ablation pain: a randomized controlled trial. (PubMed)

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 American Journal of Obstetrics and Gynecology Controlled trial quality: predicted high

71. 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

72. Utility of Anesthetic Block for Endometrial Ablation Pain: A Randomized Controlled Trial. (PubMed)

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

2017 American Journal of Obstetrics and Gynecology Controlled trial quality: predicted high

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

to 1.19); there was no evidence of any effect on postoperative back or shoulder pain. Comparisons against no treatment did not demonstrate any effect of PLA. Five studies compared paracervical block with uterosacral block, intracervical block, or intrauterine topical anaesthesia. Two of these studies showed no significant difference in pain during the procedure. Compared to intrauterine instillation, PLA slightly reduced severe pain (from 8.3 to 7.6 on a 10-point scale), which may be negligible. Six (...) 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 cervical dilatation and uterine interventions. We suggest that woman are likely to consider the rates and severity of pain during uterine interventions when performed

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2013 Cochrane database of systematic reviews (Online)

74. Le bloc paracervical en obstétrique (PubMed)

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%.

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1966 Canadian Medical Association Journal

75. 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

76. 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

77. 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

78. Local anaesthetic nerve block for pain management in labour. (PubMed)

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)

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

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

80. Endometrial ablation with paracervical block. (PubMed)

Endometrial ablation with paracervical block. To evaluate the safety, feasibility and efficacy of endometrial ablation under local anesthesia.A prospective cohort study was performed at the gynecology department of a large teaching hospital. Women with dysfunctional uterine bleeding were included to undergo NovaSure endometrial ablation with paracervical block. We measured the acceptability, pain score (visual analog score scale), amenorrhea, and patients' satisfaction after the procedure.We

2009 Journal of Reproductive Medicine

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