Use of sublingual buprenorphine for pain relief in office hysteroscopy

Lin, Yu Hung; Hwang, Jiann Loung; Huang, Lee Wen; Chen, Heng J.

doi:10.1016/j.jmig.2005.05.013

Cited by 52 publications

(12 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A great part of the discomfort attributed to the exam is caused by uterine contraction, so it was supposed that prostaglandin synthesis inhibitors could decrease pain, but when the mephenamic acid was used one hour before the exam, the discomfort was similar to the placebo group during the procedure, only being significant after the said procedure (12) . Similar results were found when intravenous tramadol and sublingual buprenorphine were used (13)(14) . Some authors, studying local intrauterine anesthesia with lidocaine diluted in saline alone or combined with cervical anesthesia affirmed that this procedure may be even more painful that the exam itself (4,15) .…”

Section: Discussionsupporting

confidence: 76%

Evaluation of pain in outpatient diagnostic hysteroscopy with gas

Diniz

Depes

Santos

et al. 2010

Einstein (São Paulo)

View full text Add to dashboard Cite

Objective: To evaluate the intensity of pain reported by patients undergoing outpatient diagnostic hysteroscopy. Methods: Exam performed with a 5-mm lens hysteroscope, vaginal speculum, tenaculum and uterine distention with carbon dioxide gas. Before and after the examination, patients were interviewed to define, in a verbal scale from 0 to 10, pain values that they expected to feel and that they experienced after the end, and also if they would repeat it if indicated. Data were analyzed using Statistical Package for the Social Sciences 15.0, statistic significance was defined as p < 0.05 with a study power of 95%. results: Fifty-eight patients were included with mean age of 50.9 years, with 32.8% at postmenopause and 6.9% nulliparous. Among those with previous deliveries, mean parity was 2.21 and at least one vaginal delivery had occurred in 63.8%. Only 24.1% of patients knew how the exam would be done, 62.1% needed an endometrial sample and the result was considered satisfactory in 89.7%. The means of expected and experienced pain were similar (6.0 versus 6.1), and 91.4% of women would repeat the hysteroscopy if necessary. The only factor associated with less pain after the exam was previous vaginal delivery, with a decrease of pain score from 7.1 to 5.5 (p = 0.03). Mean pain was significantly lower in those who agreed to repeat the exam (5.8 versus 9.4; p = 0.003). conclusions: Outpatient diagnostic hysteroscopy with gas can be associated with moderate but tolerable discomfort and satisfactory results.Keywords: Pain measurement; Pain measurement/diagnosis; Hysteroscopy/methods; Ambulatorial care; Outcome and process assessment (Health Care) reSUMO Objetivo: Avaliar a intensidade da dor referida pelas pacientes submetidas à histeroscopia diagnóstica ambulatorial. Métodos: Exame realizado com ótica de 5 mm, espéculo, pinçamento do colo com Pozzi e distensão da cavidade uterina com dióxido de carbono. Antes e depois do exame, as pacientes foram entrevistadas para definir, em uma escala verbal de 0 a 10, valores para espectativa de dor e dor experimentada após seu término, e também se elas o repetiriam se houvesse indicação. Os dados foram analisados no Statistical Package for the Social Sciences 15.0, com significância estatística definida como p < 0,05 e poder do teste de 95%. resultados: Foram incluídas 58 pacientes, com idade média de 50,9 anos, sendo 32,8% na pós-menopausa e 6,9% nulíparas. Dentre as pacientes com partos anteriores, a paridade média foi 2,21 e pelo menos um parto normal ocorreu em 63,8%. Apenas 24,1% das pacientes sabiam como o exame seria feito, 62,1% necessitaram de biópsia endometrial e o resultado foi considerado satisfatório em 89,7% dos casos. As médias de dor esperada e referida pelas pacientes foram semelhantes (6,0 versus 6,1), e 91,4% das mulheres repetiriam a histeroscopia quando necessário. O único fator associado à redução da dor após o exame foi o antecedente de parto normal, com queda de 7,1 para 5,5 (p = 0,03). A média de dor foi significativamente menor nas pacientes...

show abstract

Section: Discussionsupporting

confidence: 76%

Evaluation of pain in outpatient diagnostic hysteroscopy with gas

Diniz

Depes

Santos

et al. 2010

Einstein (São Paulo)

View full text Add to dashboard Cite

show abstract

“…After the initial title and abstract screening, the full‐texts of 100 potentially eligible citations were retrieved for evaluation. Finally, 39 RCT (Women n = 3964) were included in the present systematic review and NMA. Figure shows the PRISMA flowchart.…”

Section: Resultsmentioning

confidence: 99%

Evaluation and ranking of different interventions for pain relief during outpatient hysteroscopy: A systematic review and network meta‐analysis

Ghamry

Samy

Abdelhakim

et al. 2020

J of Obstet and Gynaecol

View full text Add to dashboard Cite

show abstract

“…Lin et al . randomised 164 women undergoing outpatient hysteroscopy to receive sublingual buprenorphine (0.2 mg) ( n = 80), 40 minutes before the procedure or a placebo ( n = 84) and found no significant reduction in pain with the use of buprenorphine . However, a 3.1 mm flexible hysteroscope was used in this nonblinded study.…”

Section: Discussionmentioning

confidence: 98%