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Paracervical Block

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161. Optimizing Patient Analgesic Experience During IVF

Patient Analgesic Experience During IVF Study Start Date : March 2013 Estimated Primary Completion Date : December 2014 Estimated Study Completion Date : December 2014 Resource links provided by the National Library of Medicine related topics: available for: Arms and Interventions Go to Arm Intervention/treatment Placebo Comparator: Normal Saline Conscious sedation and sterile normal saline (placebo) paracervical block Drug: Sterile Normal Saline% Sterile normal saline used as placebo for lidocaine (...) hydrochloride (HCl)1% solution Other Name: Sterile Normal Saline Active Comparator: Lidocaine Conscious sedation and Lidocaine hydrochloride 1% solution paracervical block Drug: Lidocaine hydrochloride (HCl) 1% solution Comparison of paracervical block using Lidocaine versus Normal Saline placebo in patients undergoing oocyte retrieval during IVF. Other Name: Xylocaine Outcome Measures Go to Primary Outcome Measures : Pain scores rated on SF-MPQ [ Time Frame: Data collection is scheduled to proceed until

2013 Clinical Trials

162. Use of an Algorithm to Determine IV Sedation Dosing During First-trimester Surgical Abortion

: Pain with suction curettage [ Time Frame: Measured on Day 1 (day of enrollment), immediately (within one minute) after completion of suction curettage and speculum removal ] Subjects' pain score with suction curettage on a 0-100 21-point scale Secondary Outcome Measures : Pain with paracervical block [ Time Frame: Measured on Day 1 (day of enrollment), immediately after paracervical block ] Pain with paracervical block will be measured (a) on a 21-point 0 to 100 scale (in increments of five (...) ), and (b) on a subjective scale of "no pain, mild pain, moderate pain or severe pain." Pain will be measured immediately after paracervical block. Pain with cervical dilation [ Time Frame: Measured on Day 1 (day of enrollment), immediately after cervical dilation ] Pain with cervical dilation will be measured (a) on a 21-point 0 to 100 scale (in increments of five), and (b) on a subjective scale of "no pain, mild pain, moderate pain or severe pain." Pain with cervical dilation will be measured

2013 Clinical Trials

163. Pain and Suction Curettage

the analgesic efficacy of preoperative oral dexketoprofen trometamol, intravenous paracetamol, lidocaine spray and paracervical block with ultracaine on curettage procedure. Condition or disease Intervention/treatment Phase Curettage Analgesia Paracervical Block Paracetamol Drug: paracetamol Drug: dexketoprofen trometamol Drug: suction curettage Other: without drug Not Applicable Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Actual Enrollment : 111 (...) Study group Drug: dexketoprofen trometamol Active Comparator: two puff xylocain administration on cervical surface Study group Drug: suction curettage Other Name: two puff xylocain administration Active Comparator: paracervical block with ultracaine study group Drug: suction curettage Other Name: paracervical block with ultracaine Outcome Measures Go to Primary Outcome Measures : pain reduction [ Time Frame: nine months ] Eligibility Criteria Go to Information from the National Library of Medicine

2013 Clinical Trials

164. Pain Control for Intrauterine Device Placement: A Trial of Ketorolac Prior to Intrauterine Device Placement

effective form of birth control. The current standard of care for pain management during and after IUD placement is no medication, as randomized control trials published to date have limited data regarding use of medications to decrease pain. There has been one trial to suggest that the use of naproxen with 1% lidocaine paracervical block compared to paracervical block alone may decrease pain after IUD placement in primarily nulliparous patients. However, this study was with the much wider and no longer

2012 Clinical Trials

165. Intrauterine Lidocaine for Laminaria

: This is a study to investigate whether instilling a small amount of liquid lidocaine into the uterus will decrease pain felt by women during laminaria insertions done for cervical dilation prior to second trimester abortion. The investigators hypothesize that women who receive intrauterine lidocaine in addition to a paracervical block will experience less pain than women who receive only a paracervical block. Condition or disease Intervention/treatment Phase Abortion, Induced Pain Management Drug: Lidocaine

2012 Clinical Trials

166. Lidocaine Spray Compared With Submucosal Injection During LEEP: a Randomized Controlled Trial

Mai University Information provided by (Responsible Party): Kittipat Charoenkwan, M.D., Chiang Mai University Study Details Study Description Go to Brief Summary: Loop Electrosurgical Excision Procedure (LEEP) is a widely used minor surgical procedure for diagnosis and treatment of cervical intraepithelial neoplasia. During the procedure, several methods have been proposed to reducing pain including submucosal block, paracervical block, and oral analgesics. Submucosal (underneath the lining

2012 Clinical Trials

167. Cervical Ripening Before Endometrial Biopsy in Abnormal Uterine Bleeding Using Sublingual Misoprostol

was: Recruiting First Posted : January 7, 2013 Last Update Posted : January 7, 2013 Sponsor: Mahidol University Information provided by (Responsible Party): Mahidol University Study Details Study Description Go to Brief Summary: Abnormal uterine bleeding is common in Thai women. Fractional curettage is an diagnostic procedure of this condition. Traditionally, fractional curettage is performed under local anesthesia such as paracervical nerve block or intravenous meperidine. Cervical dilatation using "metal

2012 Clinical Trials

168. Efficacy of Diclofenac on Pain During Endometrial Sampling

by (Responsible Party): Mahidol University Study Details Study Description Go to Brief Summary: Abnormal uterine bleeding is common in Thai women. Traditionally, because of a larger number of patients, the diagnosis of its cause is performed via fractional curettage under local anesthesia such as paracervical nerve block or intravenous meperidine. Pain is one of a common adverse effect of this procedure and this topic should be concerned by a responsible doctor. NSAIDs, Diclofenac Potassium in this study (...) paracervical nerve block due to abnormal uterine bleeding" Double blind randomised controlled trial was performed in this study with 45 patients included in each group. Condition or disease Intervention/treatment Phase Abnormal Uterine Bleeding Unrelated to Menstrual Cycle Drug: Diclofenac Potassium Drug: Folic Acid Not Applicable Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Estimated Enrollment : 90 participants Allocation: Randomized Intervention

2012 Clinical Trials

169. Study of Local Anesthesia as a Method to Decrease IUD Insertion Related Pain

a vaginal delivery before. The investigators anticipate that among women who have not had a previous vaginal delivery, the pain associated with IUD insertion will be significantly decreased after administration of local anesthesia. Condition or disease Intervention/treatment Phase IUD Insertion Complication Pain Control Drug: Lidocaine Drug: Placebo Phase 4 Detailed Description: The study will investigate the difference in perceived pain from IUD insertion, comparing paracervical block with lidocaine (...) to a placebo (bacteriostatic saline) block, among nulliparous and "functionally nulliparous" women. The investigators plan a double-masked, placebo controlled, randomized clinical trial. The investigators anticipate that among patients who have not had a previous vaginal delivery, the pain associated with IUD insertion will be significantly decreased after administration of a 15 mL 1% lidocaine paracervical block compared to patients who receive 15 mL of bacteriostatic saline (placebo). Study Design Go

2012 Clinical Trials

170. Music as an auxiliary analgesic during first trimester surgical abortion: a randomized controlled trial. (Abstract)

Music as an auxiliary analgesic during first trimester surgical abortion: a randomized controlled trial. Music has served as an auxiliary analgesic in perioperative settings. This study evaluates the impact of intraoperative music added to routine pain control measures during first trimester surgical abortion.We analyzed data from 101 women randomized to undergo abortion with routine pain control measures only (ibuprofen and paracervical block) or with the addition of intraoperative music via

2012 Contraception Controlled trial quality: predicted high

171. A double-blind, randomized controlled trial of the use of a 50:50 mixture of nitrous oxide/oxygen in legal abortions. (Abstract)

A double-blind, randomized controlled trial of the use of a 50:50 mixture of nitrous oxide/oxygen in legal abortions. The study was conducted to evaluate the effectiveness of oxygen/nitrous oxide (O(2)/N(2)O) in elective abortions by vacuum aspiration with paracervical block and intravenous paracetamol.This single-center double-blinded randomized study tested O(2)/N(2)O (n=36) and placebo (air, n=36) for additional analgesia in elective abortions with paracervical block and intravenous (...) postoperative and late postoperative pain did not differ significantly between the groups. Total adverse effects were significantly higher in the O(2)/N(2)O group [35/180 (19.4%) vs. 18/180 (10%), p=.01].O(2)/N(2)O did not reduce intraoperative or postoperative pain in elective abortions by vacuum aspiration with paracervical analgesia and intravenous paracetamol, and its adverse effect rate was substantial.Copyright © 2012 Elsevier Inc. All rights reserved.

2012 Contraception Controlled trial quality: predicted high

172. Intrauterine lidocaine infusion for pain management during outpatient transcervical tubal sterilization: a randomized controlled trial. (Abstract)

Intrauterine lidocaine infusion for pain management during outpatient transcervical tubal sterilization: a randomized controlled trial. The study was conducted to examine the effects of a 4% intrauterine lidocaine infusion on patient-perceived pain during transcervical sterilization.This was a randomized, double-blind, placebo-controlled trial. Subjects received standard premedication with 800 mg ibuprofen, 2 mg lorazepam, a 10-mL 1% lidocaine paracervical block and transcervical instillation

2012 Contraception Controlled trial quality: predicted high

173. Comparison of efficacy of modified electric vacuum aspiration with sharp curettage for the treatment of incomplete abortion: randomized controlled trial. (Abstract)

) underwent mEVA and group B (n=47) underwent SC. The procedures were performed using the paracervical block with 20 mL of lidocaine. Successful management and complication were assessed. Successful management was defined as complete uterine evacuation with no need for the second surgical procedure.There were differences in women characteristics between groups. The successful rate of management was 100% for both groups. However, the operative time and estimated blood loss were less in the mEVA group than

2012 The journal of obstetrics and gynaecology research Controlled trial quality: uncertain

174. Implementation of the Abortion Act: Report on a Year's Working of Abortion Clinics and Operating Sessions Full Text available with Trip Pro

Implementation of the Abortion Act: Report on a Year's Working of Abortion Clinics and Operating Sessions The results of the first year's working of abortion clinics and operating sessions are reported. Seventy-eight per cent. of patients were managed on the basis of day admission and 20% were able to leave the hospital within four hours, operation having been carried out by either Karman catheter or by Bierer suction curette under paracervical block. These results were possible because

1972 British medical journal

175. Update on abortion in Michigan. Full Text available with Trip Pro

Update on abortion in Michigan. 4639944 1973 02 08 2015 12 25 0027-9684 64 6 1972 Nov Journal of the National Medical Association J Natl Med Assoc Update on abortion in Michigan. 518-9 Keemer E B EB Jr eng Journal Article United States J Natl Med Assoc 7503090 0027-9684 IM J Abortion, Legal Female Humans Legislation, Medical Methods Michigan Pregnancy 722236 00007749 To avoid some of the discomfort associated with suction curettage with intravenous analgesia and paracervical block, a 2-state (...) block, built in antisepsis, less chance of uterine perforation, easier evacuation, and fewer resulting incompetant cervices. A brief discussion of the legal status of abortion in Michigan is presented. Abortion, Induced--legal aspects Americas Developed Countries Family Planning Fertility Control, Postconception Michigan North America Northern America United States Vacuum Aspiration 1972 11 1 2001 3 28 10 1 1972 11 1 0 0 ppublish 4639944 PMC2608977

1972 Journal of the National Medical Association

176. Effects of ketamine on the pregnant uterus. (Abstract)

pregnancy. Ketamine was found to cause uterine contraction (mean increase 16.1 mm Hg) equal to ergometrine (mean increase 14.8 mm Hg) in early pregnancy, but exert no effect (mean decrease -- 1.33 mm Hg) in late pregnancy. Lignocaine in early pregnancy given as a paracervical block had no significant effect on intrauterine pressure (mean increase 0.33 mm Hg). Sodium thiopentone (mean decrease -- 4.28 mm Hg first trimester and -- 2.22 mm Hg at term) in late pregnancy had no significant effect on intra

1979 British Journal of Anaesthesia Controlled trial quality: uncertain

177. Diazepam as a sedative in induced abortion. (Abstract)

Diazepam as a sedative in induced abortion. In 136 patients, who underwent induced abortion by the vacuum curettage method under local anaesthesia (paracervical block), the effect of 10 mg diazepam intravenously as preoperative sedative was investigated for its ability to abolish the subjective experience of pain. The trial was carried out as a paired sample, random, allocation, double-blind, fixed dose trial, and the statistical method was sequential analysis. Thirty-six pairs showed

1975 Acta Obstetricia et Gynecologica Scandinavica Controlled trial quality: uncertain

178. First trimester abortion by vacuum aspiration. (Abstract)

of the follow-up visit. All abortions were performed under paracervical block anesthetic after mechanical dilatation of the cervix to 8.6 mm. The rates of specific complications, blood loss and the need for secondary procedures to complete the abortion were not significantly different for the two types of cannulae. The amount of tissue obtained with a routine curette check following the vacuum aspiration, and the incidence of cannula obstruction were similar for the two types of cannulae.

1975 Annales chirurgiae et gynaecologiae Fenniae Controlled trial quality: uncertain

179. Management of Normal Delivery

pudendal and paracervical blocks. When epidural analgesia is used, drugs can be titrated as needed during the course of labor. The local anesthetics often used for epidural injection (eg, bupivacaine ) have a longer duration of action and slower onset than those used for pudendal block (eg, lidocaine ). Spinal injection (into the paraspinal subarachnoid space) may be used for cesarean delivery, but it is used less often for vaginal deliveries because it is short-lasting (preventing its use during labor (...) ) and has a small risk of spinal headache afterward. When spinal injection is used, patients must be constantly attended, and vital signs must be checked every 5 min to detect and treat possible hypotension. Local anesthesia Methods include pudendal block, perineal infiltration, and paracervical block. Pudendal block, rarely used because epidural injections are used instead, involves injecting a local anesthetic through the vaginal wall so that the anesthetic bathes the pudendal nerve as it crosses

2013 Merck Manual (19th Edition)

180. The Effect of Nitroglycerin on the Intrauterine Device (IUD) Insertion Experience in Nulliparous Women

. In addition, need for additional dilation, additional pain medicine such as paracervical block, inability to place the IUD, and complications will be tracked. To determine if nitroglycerin ointment applied vaginally 30-45 minutes prior to IUD insertion is safe and well tolerated. Side effects related to treatment with nitroglycerin ointment or placebo will be compared. Blood pressure will be measured at multiple time points. Study Design Go to Layout table for study information Study Type : Interventional

2011 Clinical Trials

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