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Latest & greatest articles for Paracervical Block
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ParacervicalBlock for Intrauterine Device Placement Among Nulliparous Women: A Randomized Controlled Trial To investigate whether a 20-mL buffered 1% lidocaine paracervicalblock decreases pain during intrauterine device (IUD) placement.In a randomized, single-blind, placebo-controlled trial, women were assigned to receive either a 20-mL buffered 1% lidocaine paracervicalblock or no block before IUD placement. The primary outcome was pain with IUD placement measured on a 100-mm visual analog (...) scale. Our sample size had 80% power (α=0.05) to detect a 20-mm difference in visual analog scale scores with a SD of 28 mm. Secondary outcomes included pain with speculum placement, paracervicalblock administration, tenaculum placement, 5 minutes postprocedure, and overall pain perception.From October 7, 2014, through October 26, 2017, 64 women were enrolled and analyzed (33 in the paracervicalblock arm, 31 in the no-block arm). There were no differences in baseline demographics between
ParacervicalBlock for Laminaria Insertion Before Second-Trimester Abortion: A Randomized Controlled Trial To evaluate the efficacy of a paracervicalblock to decrease pain during osmotic dilator insertion before second-trimester abortion.In this double-blind, randomized trial, 41 women undergoing Laminaria insertion before a second-trimester abortion received either a paracervicalblock with 18 mL 1% lidocaine and 2 mL sodium bicarbonate or a sham block. Women were between 14 and 23 6/7 weeks (...) of gestation. The primary outcome was pain immediately after insertion of Laminaria. Women assessed their pain on a 100-mm visual analog scale. Secondary outcomes included assessment of pain at other times during the insertion procedure and overall satisfaction with pain control. To detect a 25-mm difference in pain immediately after Laminaria insertion, at an α of 0.05 and 80% power, we aimed to enroll 20 patients in each arm.From May 2015 to December 2015, 20 women received a paracervicalblock and 21
Paracervicalblock efficacy in office hysteroscopic sterilization: a randomized controlled trial To estimate the efficacy of paracervicalblock compared with saline for pain relief during office hysteroscopic sterilization.This study was a randomized, placebo-controlled study of women desiring hysteroscopic sterilization. A paracervicalblock 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).Paracervicalblock 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.
Paracervicalblock with combined ketorolac and lidocaine in first-trimester surgical abortion: a randomized controlled trial To study the effects of a paracervicalblock 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 paracervicalblock (...) or an oral placebo and paracervicalblock 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 paracervicalblock with lidocaine alone, and 25 received oral placebo followed by paracervicalblock with combined ketorolac and lidocaine. Groups
Is it cost-effective to use a mucosal or paracervicalblock to relieve the pain and cramping from cryosurgery? A decision model Is it cost-effective to use a mucosal or paracervicalblock to relieve the pain and cramping from cryosurgery? A decision model Is it cost-effective to use a mucosal or paracervicalblock to relieve the pain and cramping from cryosurgery? A decision model Harper D M, Cobb J L Record Status This is a critical abstract of an economic evaluation that meets the criteria (...) for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology The use of paracervical and mucosal blocks to relieve pain and cramping in 5-minute double-freeze cryosurgery for cervical intraepithelial neoplasia. Type of intervention Treatment. Economic study type Cost-effectiveness analysis. Study population The study population consisted