What determines the analgesic effect of paracervical block?

Palomäki, Outi; Huhtala, Heini; Kirkinen, Pertti

doi:10.1111/j.0001-6349.2005.00710.x

Cited by 6 publications

(2 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although the popularity of the techniques has diminished substantially, they are still used by some clinicians with good results. [10][11][12][13] Furthermore, procedure-related complications are rare and attest to the safety of modern anesthesia. 5,8 Given that it has been documented that moderate sedation with additional local anesthesia for minor gynecologic operations is associated with reduced pain perceptions, and with shorter surgery and recovery times, the PCB technique is preferred in by the current authors.…”

Section: Discussionmentioning

confidence: 99%

Accidental Bilateral Sciatic Nerve Block After Gynecologic Procedure

GilvanoffAlexander

Bjarne

2016

Journal of Gynecologic Surgery

View full text Add to dashboard Cite

Background: Local anesthesia techniques for minor obstetric and gynecologic procedures are routinely performed around the world, as these techniques are relatively easy to learn and perform. The low complication rate of these techniques is commendable, given the busy clinical environment in which obstetricians and gynecologists practice. However, complications do occur. Case: A 48-year-old female was scheduled for ambulatory surgery for a rectocele with cervical amputation under general anesthesia. Perioperatively, the surgeon performed pudendal and paracervical blockades along with local anesthetic infiltration of the sacrouterine ligaments. In the postoperative period, the patient presented with bilateral sciatic nerve blockage, which was caused by an unintended spread of the local anesthetic. She was admitted for further observation. Results: This patient's sensory and motor deficit was resolved spontaneously by the next morning. Conclusions: Awareness regarding possible complications, prevention, and prompt diagnosis are the keys to safe use of regional anesthesia and patients' early ambulation. ( J GYNECOL SURG 32:133)

show abstract

Section: Discussionmentioning

confidence: 99%

Accidental Bilateral Sciatic Nerve Block After Gynecologic Procedure

GilvanoffAlexander

Bjarne

2016

Journal of Gynecologic Surgery

View full text Add to dashboard Cite

show abstract

“…17 The obstetricians in our study were senior doctors and specialising residents. In primiparas with long labours epidural analgesia may be a more appropriate technique, so we chose to study multiparas in whom quick and short-acting techniques like SSS analgesia or PCB are feasible for rapidly progressing labours.…”

Section: Discussionmentioning

confidence: 99%