A paracervical block is an anesthetic procedure used in obstetrics and gynecology, in which a local anesthetic is injected into between two and six sites at a depth of 3–7 mm alongside the vaginal portion of the cervix in the vaginal fornices.[1] In the United States, the paracervical block is underutilized during insertion of intrauterine devices (IUDs). There is speculation that this is related to the disproportionate under-researching of women's health.[2]
It is used for various obstetric and gynecologic procedures, such as hysteroscopy and vacuum aspiration.
It is as efficient as intracervical block, according to a study on women undergoing vacuum aspiration with lidocaine as anesthetic agent.[3]
The majority of surgical abortions in the united stares are performed with a paracervical block with or without the addition of other pain medications. The best specific technique has yet to be defined and there is still a lot of procedure related pain.[4] The choice of the best anesthesia depends on patient preference and resources available.[4]
In addition, a paracervica block may be permormed by a wide variety of clinications incuding familiy medicine practitionor, advanced practitionors and RN's [5]
Addition of ketorolac may offer added benefit of improved pain control.[6]
^paracervical block Archived 2011-07-28 at the Wayback Machine By Robert Nadelberg. Copyright 2007 by Boston Scientific Corporation
^Murai, Ruth. "Why haven't we figured out how to make IUDs less excruciating?". Mother Jones. Retrieved 2023-01-18.
^Mankowski, J.; Kingston, J.; Moran, T.; Nager, C.; Lukacz, E. (2009). "Paracervical compared with intracervical lidocaine for suction curettage: a randomized controlled trial". Obstetrics and Gynecology. 113 (5): 1052–1057. doi:10.1097/AOG.0b013e31819ec97e. PMID 19384120. S2CID 25650472.
^ abCrouthamel, Bonnie; Economou, Nicole; Averbach, Sarah; Rible, Radhika; Kully, Gennifer; Meckstroth, Karen; Mody, Sheila K. (August 2022). "Effect of Paracervical Block Volume on Pain Control for Dilation and Aspiration: A Randomized Controlled Trial". Obstetrics & Gynecology. 140 (2): 234–242. doi:10.1097/AOG.0000000000004862. ISSN 0029-7844. PMID 35852274.
A paracervicalblock is an anesthetic procedure used in obstetrics and gynecology, in which a local anesthetic is injected into between two and six sites...
usually performed under procedural sedation, general anesthesia, paracervicalblock, or sometimes spinal anesthesia. Local anesthesia is not typically...
Local anesthesia can be used. Analgesics are not always necessary. A paracervicalblock may be achieved using a lidocaine injection in the upper part of the...
applied before the procedure. The use of intrauterine lidocaine (paracervicalblock) is underutilized in the United States as an effective method to reduce...
2022-03-13. Cansino C, Edelman A, Burke A, Jamshidi R (December 2009). "ParacervicalBlock With Combined Ketorolac and Lidocaine in First-Trimester Surgical...
It is also contraindicated in obstetrical paracervicalblocks and intravenous regional anaesthesia (Bier block) because of potential risk of tourniquet...
medications, which often act in combination with an analgesic and neuromuscular blocking agent. Spontaneous ventilation is often inadequate during the procedure...
hold the cervix steady. Pain medications may be administered via a paracervicalblock. The dilator is then grasped with a ring forceps and is placed into...
anesthesia/analgesia such as spinals and epidurals Placing ultrasound guided blocks for surgery Managing patients is the post-operative period Cope the recovery...
Twilight Dental (Inferior alveolar nerve) Neuroleptanalgesic anesthesia Nerve block History of general anesthesia History of neuraxial anesthesia History of...
to bupivacaine, is contraindicated in obstetric patients. Use in paracervicalblocks in obstetrics is also contraindicated. Levobupivacaine is furthermore...
overdose), accidental intravenous (rather than subcutaneous, intrathecal, or paracervical) injection, or from prolonged use of subcutaneous infiltration anesthesia...
high rates of maternal satisfaction. Other nerve blocks for labor include paracervical and pudendal blocks which target different nerve distributions. Anesthesia...
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