From Wikipedia, the free encyclopedia
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] Addition of
ketorolac may offer added benefit of improved pain control.
[4]
References
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^
paracervical block
Archived 2011-07-28 at the
Wayback Machine By Robert Nadelberg. Copyright 2007 by Boston Scientific Corporation
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^ Murai, Ruth.
"Why haven't we figured out how to make IUDs less excruciating?". Mother Jones. Retrieved 2023-01-18.
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^ 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.
-
^ Cansino, Catherine; Edelman, Alison; Burke, Anne; Jamshidi, Roxanne (December 2009).
"Paracervical Block With Combined Ketorolac and Lidocaine in First-Trimester Surgical Abortion: A Randomized Controlled Trial". Obstetrics & Gynecology. 114 (6): 1220–1226.
doi:
10.1097/AOG.0b013e3181c1a55b.
ISSN
0029-7844.
PMID
19935022.
S2CID
22458136.
Further reading