Paracervical block with combined ketorolac and lidocaine in first-trimester surgical abortion: a randomized controlled trial

Obstetrics and Gynecology
Catherine CansinoRoxanne Jamshidi

Abstract

To study the effects of a paracervical block 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 paracervical block or an oral placebo and paracervical block 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 paracervical block with lidocaine alone, and 25 received oral placebo followed by paracervical block with combined ketorolac and lidocaine. Groups were similar with respect to sociodemographic variables. Women who received paracervical block with combined ketorolac and lidocaine reported significantly less pain after cervical dilation (59.8 compared with 74.8 mm, P<.05). The groups did not differ in perceived procedure-related or postoperative pain. There was no difference in overall satisfaction with pain con...Continue Reading

References

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Citations

Feb 15, 2011·International Urogynecology Journal·Gena C DunivanElizabeth J Geller
Oct 3, 2013·The Cochrane Database of Systematic Reviews·Thumwadee TangsiriwatthanaMalinee Laopaiboon
Mar 22, 2014·The Journal of Family Planning and Reproductive Health Care·Mary Pillai
Feb 20, 2016·Obstetrical & Gynecological Survey·Luu Doan Ireland, Rebecca H Allen
Jul 6, 2017·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Zahra AsgariMahdi Sepidarkish
Mar 30, 2018·Obstetrical & Gynecological Survey·Ghazaleh Moayedi, Mary Tschann
Apr 1, 2011·Current Opinion in Anaesthesiology·Petri VolmanenJouni Ahonen

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