Comparison of ropivacaine and lidocaine for paracervical block during surgical abortion

Agostini, Aubert; Provansal, Magali; Collette, Emmanuelle; Capelle, M.; Estrade, J.-P.; Cravello, L.; Gamerre, M.

doi:10.1016/j.acpain.2008.05.018

Cited by 3 publications

(5 citation statements)

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“…where Z = 1.96, β = 0.845; ∞ = 0.05; S is thepolled standard deviation of the means (outcome of interest) 52.4 mm; 18 , 22 and d 0 is the smallest difference in means that would be clinically meaningful to detect 24.2 mm 18 , 22 …”

Section: Methodsmentioning

confidence: 99%

“…Gazvani et al 17 reported that clients managed with conscious sedation were more satisfied with pain management than those that had patient-controlled anaesthesia. Agostini et al, 18 in France, in their study involving 114 women, compared ropivacaine and lidocaine for a paracervical block during a surgical abortion. They found that the mean intraoperative pain for both groups was 5.23 ± 2.72 vs 4.18 ± 2.77.…”

Section: Introductionmentioning

confidence: 99%

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Analgesic efficacy and safety of paracervical block versus conscious sedation in the surgical evacuation of the uterus following first-trimester incomplete miscarriages: A randomised controlled trial

et al. 2022

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Objective: To compare the analgesic efficacy and safety of paracervical block and conscious sedation in the surgical evacuation of the uterus following a first-trimester miscarriage. Methods: This is an open-label, randomised control trial comparing pain relief by paracervical block versus conscious sedation during manual vacuum aspiration of first-trimester incomplete miscarriages. One-hundred and sixty-two women were equally randomised into two groups. Group A (paracervical group) received a paracervical block of 4 ml of lidocaine each at the 4 and 8 o’clock positions. Group B (conscious sedation group) received intravenous 30 mg pentazocine and 10 mg diazepam. Data obtained were presented using a frequency table, student t-test, chi-square and Mann–Whitney test and bar chart. A P-value of ⩽0.05 was taken to be statistically significant. Results: The mean pain score was lower in the paracervical block group compared to the conscious sedation group (P < 0.05); however, there was no significant difference in women’s satisfaction between the groups (P ⩾ 0.05). Conscious sedation had more negative side effects compared to paracervical block which was significant (P < 0.05). Conclusion: Paracervical block has better pain control compared with conscious sedation and has a good side effect profile. Trial registration: Pan African Clinical Trial Registry (registered trial no. PACTR202108841661192). Synopsis Paracervical block for manual vacuum aspiration (MVA) during first-trimester miscarriage is associated with less pain among women compared with conscious sedation.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Analgesic efficacy and safety of paracervical block versus conscious sedation in the surgical evacuation of the uterus following first-trimester incomplete miscarriages: A randomised controlled trial

et al. 2022

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“…Comparisons between studies of PCB are difficult because of varying injection amounts, locations and depths [4]. Nevertheless, neither the strength of the lidocaine (0.5% vs. 1%) nor the type of anesthetic (lidocaine vs. bupivacaine vs. ropivacaine) has been shown to substantially affect efficacy [42,52,53]. There is a trend toward lower pain in women receiving a 20-mL injection compared to 10-mL [19,54].…”

Section: Pcb Techniquementioning

confidence: 99%

Society of Family Planning clinical guidelines pain control in surgical abortion part 1 — local anesthesia and minimal sedation

Allen

Singh

2018

Contraception

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Satisfactory pain control for women undergoing surgical abortion is important for patient comfort and satisfaction. Clinicians ought to be aware of the safety and efficacy of different pain control regimens. This document will focus on nonpharmacologic modalities to reduce pain and pharmacologic interventions up to the level of minimal sedation. For surgical abortion without intravenous medications, a multimodal approach to pain control may combine a dedicated emotional-support person, visual or auditory distraction, administration of local anesthesia to the cervix with buffered lidocaine and a preoperative nonsteroidal anti-inflammatory drug. Oral opioids do not decrease procedural pain. Oral anxiolytics decrease anxiety but not the experience of pain. Further research is needed on alternative options to control pain short of moderate or deep sedation.

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“…Surgical abortion below 7 weeks is rare in France, because the French Ministery of Health suggests performing abortions medically up to 7 weeks' gestational age, which can be performed without any hospitalization [4]. Despite LA, women requesting surgical abortion still experience some pain [5][6][7][8][9][10]. A survey based on almost 2,300 women seeking surgical abortion with LA showed that 78% of patients reported "moderate" or "severe" pain [11].…”

Section: Accepted Manuscriptmentioning

confidence: 99%

“…Mean age was 27.2 ± 7.5 years old (range 15-45). Mean gestational age was 9.1 ± 1.8 weeks (range[6][7][8][9][10][11][12][13][14]. Thirty-one percent of the enrolled women had one or more children, and 22% of them had had previous induced abortions.…”

mentioning

confidence: 99%

A prospective study of the frequency of severe pain and predictive factors in women undergoing first-trimester surgical abortion under local anaesthesia

Duros

Joueidi

Timoh

et al. 2018

European Journal of Obstetrics & Gynecology and Reproductiv

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Comparison of ropivacaine and lidocaine for paracervical block during surgical abortion

Cited by 3 publications

References 0 publications

Analgesic efficacy and safety of paracervical block versus conscious sedation in the surgical evacuation of the uterus following first-trimester incomplete miscarriages: A randomised controlled trial

Analgesic efficacy and safety of paracervical block versus conscious sedation in the surgical evacuation of the uterus following first-trimester incomplete miscarriages: A randomised controlled trial

Society of Family Planning clinical guidelines pain control in surgical abortion part 1 — local anesthesia and minimal sedation

A prospective study of the frequency of severe pain and predictive factors in women undergoing first-trimester surgical abortion under local anaesthesia

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