Paracervical Nerve Block in Obstetrics

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چکیده

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Assessment of paracervical nerve block anaesthesia during labour.

An assessment of paracervical nerve block anaesthesia was made in 118 women during labour using 0.5% bupivacaine with 1:200,000 parts of adrenaline added. The 82 multiparae were each given a single block and the 36 primigravidae a continuous block to try to provide the sole means of analgesia throughout the first stage of labour.Only 48% of the primigravidae required no other form of analgesia,...

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Endometrial ablation with paracervical block.

OBJECTIVE To evaluate the safety, feasibility and efficacy of endometrial ablation under local anesthesia. STUDY DESIGN A prospective cohort study was performed at the gynecology department of a large teaching hospital. Women with dysfunctional uterine bleeding were included to undergo NovaSure endometrial ablation with paracervical block. We measured the acceptability, pain score (visual ana...

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Pre-ovarian block versus paracervical block for oocyte retrieval.

BACKGROUND A pre-ovarian block (POB) technique can be used for pain relief during oocyte retrieval in IVF. The local anaesthetic is deposited in the vaginal wall and between the vaginal wall and the peritoneal surface near the ovary using ultrasound guidance. The aim of this study was to test whether analgesia with POB resulted in improved pain relief compared to paracervical block (PCB). MET...

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Unexpected high spinal block in obstetrics.

Sir,—Elliott, Voyvodic and Brownridge recently reported an unexpected subarachnoid block in a parturient, despite careful aspiration testing and prior administration of local anaesthetic via a catheter, presumably located in the lumbar extradural space. 1 We recently described five similar cases of high spinal block produced by the initial test dose alone after negative aspiration testing. 2 We...

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Maternal and fetal effects of low-dosage bupivacaine paracervical block.

Vasoconstriction of the uterine arteries, hypertonus of the uterus, and the direct toxic effects of a local anesthetic on the fetus or a combination of the above have been presented as etiological factors of fetal bradycardia following paracervical block. The reduce fetal side-effects a superficial and lowdosage technique of PCB have been advocated. We have studied the effects of 25 mg of bupiv...

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ژورنال

عنوان ژورنال: Proceedings of the Royal Society of Medicine

سال: 1963

ISSN: 0035-9157

DOI: 10.1177/003591576305601220