The Experts below are selected from a list of 249 Experts worldwide ranked by ideXlab platform
Alejandro Paradas - One of the best experts on this subject based on the ideXlab platform.
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Paracervical Block in incomplete abortion using manual vacuum aspiration randomized clinical trial
Obstetrics & Gynecology, 2004Co-Authors: Pio Iván Gómez, Hernando Gaitán, Casilda Nova, Alejandro ParadasAbstract:OBJECTIVE: To estimate the effectiveness of Paracervical Block in controlling pain among women treated with manual vacuum aspiration for an incomplete abortion METHODS: A randomized clinical trial was conducted at Nuestra Senora de Altagracia, a maternal and perinatal referral hospital in the Dominican Republic. The sample size was based on a clinical difference of 1.5 points in the level of pain measured with the visual analog scale using 90% power and a sampling error of 0.04. Women who were at 12 weeks of gestation or less with an incomplete abortion were eligible to participate. They were randomly assigned to receive either the standard treatment of care (manual vacuum aspiration for uterine evacuation with psychological support but no Paracervical Block) or manual vacuum aspiration treatment with psychological support and Paracervical Block using 1.0% lidocaine. Patients with active infections, severe illnesses, psychiatric disorders, or allergies to lidocaine were excluded. Intraoperative pain as reported by the women and as documented by an external observer was measured. RESULTS: Although the Paracervical Block technique used showed a slight reduction in severe pain, there were no clinically or statistically significant differences in intraoperative pain between the 2 groups (relative risk 0.73; 95% confidence interval 0.43, 1.23) with 50% of all patients registering 7 or higher score on a visual analog pain scale of 0-10. However, statistically significant differences were found in each group when comparing the level of preoperative and intraoperative pain described by the patient (P <.001). The manual vacuum aspiration technique and the Paracervical Block were not accompanied by complications. CONCLUSION: The Paracervical Block technique used in this study along with psychological support was comparable with pain control using psychological support alone; neither pain management regimen provided sufficient pain control. It is recommended that randomized comparative studies be designed to determine the effectiveness of other Paracervical Block techniques and the efficacy of the use of analgesics in patients suffering from incomplete abortion treated with manual vacuum aspiration.
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Paracervical Block in incomplete abortion using manual vacuum aspiration: randomized clinical trial.
Obstetrics and gynecology, 2004Co-Authors: Pio Iván Gómez, Hernando Gaitán, Casilda Nova, Alejandro ParadasAbstract:To estimate the effectiveness of Paracervical Block in controlling pain among women treated with manual vacuum aspiration for an incomplete abortion A randomized clinical trial was conducted at Nuestra Señora de Altagracia, a maternal and perinatal referral hospital in the Dominican Republic. The sample size was based on a clinical difference of 1.5 points in the level of pain measured with the visual analog scale using 90% power and a sampling error of 0.04. Women who were at 12 weeks of gestation or less with an incomplete abortion were eligible to participate. They were randomly assigned to receive either the standard treatment of care (manual vacuum aspiration for uterine evacuation with psychological support but no Paracervical Block) or manual vacuum aspiration treatment with psychological support and Paracervical Block using 1.0% lidocaine. Patients with active infections, severe illnesses, psychiatric disorders, or allergies to lidocaine were excluded. Intraoperative pain as reported by the women and as documented by an external observer was measured. Although the Paracervical Block technique used showed a slight reduction in severe pain, there were no clinically or statistically significant differences in intraoperative pain between the 2 groups (relative risk 0.73; 95% confidence interval 0.43, 1.23) with 50% of all patients registering 7 or higher score on a visual analog pain scale of 0-10. However, statistically significant differences were found in each group when comparing the level of preoperative and intraoperative pain described by the patient (P <.001). The manual vacuum aspiration technique and the Paracervical Block were not accompanied by complications. The Paracervical Block technique used in this study along with psychological support was comparable with pain control using psychological support alone; neither pain management regimen provided sufficient pain control. It is recommended that randomized comparative studies be designed to determine the effectiveness of other Paracervical Block techniques and the efficacy of the use of analgesics in patients suffering from incomplete abortion treated with manual vacuum aspiration.
Pio Iván Gómez - One of the best experts on this subject based on the ideXlab platform.
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Paracervical Block in incomplete abortion using manual vacuum aspiration randomized clinical trial
Obstetrics & Gynecology, 2004Co-Authors: Pio Iván Gómez, Hernando Gaitán, Casilda Nova, Alejandro ParadasAbstract:OBJECTIVE: To estimate the effectiveness of Paracervical Block in controlling pain among women treated with manual vacuum aspiration for an incomplete abortion METHODS: A randomized clinical trial was conducted at Nuestra Senora de Altagracia, a maternal and perinatal referral hospital in the Dominican Republic. The sample size was based on a clinical difference of 1.5 points in the level of pain measured with the visual analog scale using 90% power and a sampling error of 0.04. Women who were at 12 weeks of gestation or less with an incomplete abortion were eligible to participate. They were randomly assigned to receive either the standard treatment of care (manual vacuum aspiration for uterine evacuation with psychological support but no Paracervical Block) or manual vacuum aspiration treatment with psychological support and Paracervical Block using 1.0% lidocaine. Patients with active infections, severe illnesses, psychiatric disorders, or allergies to lidocaine were excluded. Intraoperative pain as reported by the women and as documented by an external observer was measured. RESULTS: Although the Paracervical Block technique used showed a slight reduction in severe pain, there were no clinically or statistically significant differences in intraoperative pain between the 2 groups (relative risk 0.73; 95% confidence interval 0.43, 1.23) with 50% of all patients registering 7 or higher score on a visual analog pain scale of 0-10. However, statistically significant differences were found in each group when comparing the level of preoperative and intraoperative pain described by the patient (P <.001). The manual vacuum aspiration technique and the Paracervical Block were not accompanied by complications. CONCLUSION: The Paracervical Block technique used in this study along with psychological support was comparable with pain control using psychological support alone; neither pain management regimen provided sufficient pain control. It is recommended that randomized comparative studies be designed to determine the effectiveness of other Paracervical Block techniques and the efficacy of the use of analgesics in patients suffering from incomplete abortion treated with manual vacuum aspiration.
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Paracervical Block in incomplete abortion using manual vacuum aspiration: randomized clinical trial.
Obstetrics and gynecology, 2004Co-Authors: Pio Iván Gómez, Hernando Gaitán, Casilda Nova, Alejandro ParadasAbstract:To estimate the effectiveness of Paracervical Block in controlling pain among women treated with manual vacuum aspiration for an incomplete abortion A randomized clinical trial was conducted at Nuestra Señora de Altagracia, a maternal and perinatal referral hospital in the Dominican Republic. The sample size was based on a clinical difference of 1.5 points in the level of pain measured with the visual analog scale using 90% power and a sampling error of 0.04. Women who were at 12 weeks of gestation or less with an incomplete abortion were eligible to participate. They were randomly assigned to receive either the standard treatment of care (manual vacuum aspiration for uterine evacuation with psychological support but no Paracervical Block) or manual vacuum aspiration treatment with psychological support and Paracervical Block using 1.0% lidocaine. Patients with active infections, severe illnesses, psychiatric disorders, or allergies to lidocaine were excluded. Intraoperative pain as reported by the women and as documented by an external observer was measured. Although the Paracervical Block technique used showed a slight reduction in severe pain, there were no clinically or statistically significant differences in intraoperative pain between the 2 groups (relative risk 0.73; 95% confidence interval 0.43, 1.23) with 50% of all patients registering 7 or higher score on a visual analog pain scale of 0-10. However, statistically significant differences were found in each group when comparing the level of preoperative and intraoperative pain described by the patient (P <.001). The manual vacuum aspiration technique and the Paracervical Block were not accompanied by complications. The Paracervical Block technique used in this study along with psychological support was comparable with pain control using psychological support alone; neither pain management regimen provided sufficient pain control. It is recommended that randomized comparative studies be designed to determine the effectiveness of other Paracervical Block techniques and the efficacy of the use of analgesics in patients suffering from incomplete abortion treated with manual vacuum aspiration.
Alison Edelman - One of the best experts on this subject based on the ideXlab platform.
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Paracervical Block for pain control in first-trimester surgical abortion: a randomized controlled trial.
Obstetrics and gynecology, 2012Co-Authors: Regina Maria Renner, Mark D. Nichols, Jeffrey T. Jensen, Alison EdelmanAbstract:OBJECTIVE:Despite lack of efficacy data, the majority of first-trimester surgical abortions are performed with a Paracervical Block. Women may be unnecessarily exposed to a painful injection and potentially noxious medication. Our objective was to estimate the effect of a Paracervical Block and the
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Paracervical Block with combined ketorolac and lidocaine in first trimester surgical abortion a randomized controlled trial
Obstetrics & Gynecology, 2009Co-Authors: Catherine D Cansino, Alison Edelman, Anne E. Burke, Roxanne JamshidiAbstract:OBJECTIVE To study the effects of a Paracervical Block with combined ketorolac and lidocaine on perceived pain during first-trimester surgical abortion. METHODS 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). RESULTS 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 control between the two groups (63.6 compared with 62.9 mm, P=.93). CONCLUSION Paracervical Block with combined ketorolac and lidocaine significantly decreases perceived pain associated with cervical dilation during first-trimester surgical abortion. This analgesic mixture may be offered as an alternative pain regimen to women seeking first-trimester surgical abortion. It may also offer improved pain control in other gynecologic procedures necessitating cervical dilation. CLINICAL TRIAL REGISTRATION ClinicalTrials.gov, www.clinicaltrials.gov, NCT00617097. LEVEL OF EVIDENCE I.
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Paracervical Block with combined ketorolac and lidocaine in first-trimester surgical abortion: a randomized controlled trial.
Obstetrics and gynecology, 2009Co-Authors: Catherine D Cansino, Alison Edelman, Anne E. Burke, Roxanne JamshidiAbstract: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 control between the two groups (63.6 compared with 62.9 mm, P=.93). Paracervical Block with combined ketorolac and lidocaine significantly decreases perceived pain associated with cervical dilation during first-trimester surgical abortion. This analgesic mixture may be offered as an alternative pain regimen to women seeking first-trimester surgical abortion. It may also offer improved pain control in other gynecologic procedures necessitating cervical dilation. ClinicalTrials.gov, www.clinicaltrials.gov, NCT00617097. I.
Deepak K Jain - One of the best experts on this subject based on the ideXlab platform.
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effectiveness of Paracervical Block for pain relief in women undergoing hysterosalpingography
Journal of Human Reproductive Sciences, 2016Co-Authors: Shikha Jain, Dattaprasad B Inamdar, Abha Majumdar, Deepak K JainAbstract:Objectives: To evaluate the potential benefit, in terms of pain relief, of the Paracervical Block with 2% lignocaine in women undergoing hysterosalpingography (HSG). Study Design: This study was a prospective randomized controlled study. Settings: This study was conducted in infertility clinic of a tertiary care center. Materials and Methods: Four hundred and six patients undergoing HSG as a part of infertility evaluation were included in the study. These women were randomized into two groups: Group I received Paracervical Block with 2% lignocaine at the time of HSG (n = 53) and Group II (n = 53) served as control. Hyoscine (10 mg) oral tablet was given to all the patients 30 min before the procedure. Pain perception during the procedure was analyzed by the patient between 0 and 10 on a numeric rating scale, immediately after HSG. Results: The baseline demographic characteristics of participants in two groups were similar. Mean pain score immediately after HSG in the study group and control group was 4.84 ± 2.56 and 5.21 ± 1.89, respectively (P = 0.21). Conclusions : There is no benefit of Paracervical Block with 2% lignocaine, in terms of pain relief, in women undergoing HSG.
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Effectiveness of Paracervical Block for pain relief in women undergoing hysterosalpingography.
Journal of human reproductive sciences, 2016Co-Authors: Shikha Jain, Dattaprasad B Inamdar, Abha Majumdar, Deepak K JainAbstract:To evaluate the potential benefit, in terms of pain relief, of the Paracervical Block with 2% lignocaine in women undergoing hysterosalpingography (HSG). This study was a prospective randomized controlled study. This study was conducted in infertility clinic of a tertiary care center. Four hundred and six patients undergoing HSG as a part of infertility evaluation were included in the study. These women were randomized into two groups: Group I received Paracervical Block with 2% lignocaine at the time of HSG (n = 53) and Group II (n = 53) served as control. Hyoscine (10 mg) oral tablet was given to all the patients 30 min before the procedure. Pain perception during the procedure was analyzed by the patient between 0 and 10 on a numeric rating scale, immediately after HSG. The baseline demographic characteristics of participants in two groups were similar. Mean pain score immediately after HSG in the study group and control group was 4.84 ± 2.56 and 5.21 ± 1.89, respectively (P = 0.21). There is no benefit of Paracervical Block with 2% lignocaine, in terms of pain relief, in women undergoing HSG.
Roxanne Jamshidi - One of the best experts on this subject based on the ideXlab platform.
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Paracervical Block with combined ketorolac and lidocaine in first trimester surgical abortion a randomized controlled trial
Obstetrics & Gynecology, 2009Co-Authors: Catherine D Cansino, Alison Edelman, Anne E. Burke, Roxanne JamshidiAbstract:OBJECTIVE To study the effects of a Paracervical Block with combined ketorolac and lidocaine on perceived pain during first-trimester surgical abortion. METHODS 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). RESULTS 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 control between the two groups (63.6 compared with 62.9 mm, P=.93). CONCLUSION Paracervical Block with combined ketorolac and lidocaine significantly decreases perceived pain associated with cervical dilation during first-trimester surgical abortion. This analgesic mixture may be offered as an alternative pain regimen to women seeking first-trimester surgical abortion. It may also offer improved pain control in other gynecologic procedures necessitating cervical dilation. CLINICAL TRIAL REGISTRATION ClinicalTrials.gov, www.clinicaltrials.gov, NCT00617097. LEVEL OF EVIDENCE I.
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Paracervical Block with combined ketorolac and lidocaine in first-trimester surgical abortion: a randomized controlled trial.
Obstetrics and gynecology, 2009Co-Authors: Catherine D Cansino, Alison Edelman, Anne E. Burke, Roxanne JamshidiAbstract: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 control between the two groups (63.6 compared with 62.9 mm, P=.93). Paracervical Block with combined ketorolac and lidocaine significantly decreases perceived pain associated with cervical dilation during first-trimester surgical abortion. This analgesic mixture may be offered as an alternative pain regimen to women seeking first-trimester surgical abortion. It may also offer improved pain control in other gynecologic procedures necessitating cervical dilation. ClinicalTrials.gov, www.clinicaltrials.gov, NCT00617097. I.
