A Randomized Controlled Trial of Pudendal Nerve Block for Pain Relief After Episiotomy

Aissaoui, Y.; Bruyère, Rémi; Mustapha, Hassan; Bry, Dominique; Kamili, N. Drissi; Miller, C.

doi:10.1213/ane.0b013e31817ee48f

Cited by 39 publications

(8 citation statements)

References 20 publications

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“…The potential risks for pudendal block include hematoma, infection, nerve damage as well as local anesthetic toxicity and extension of the nerve block; in practice complications are rare [13].…”

Section: Resultsmentioning

confidence: 99%

Anterior Approach for Ultrasound-guided Pudendal Block

Parras¹,

Blanco²

2016

J Pain Relief

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Section: Resultsmentioning

confidence: 99%

Anterior Approach for Ultrasound-guided Pudendal Block

Parras¹,

Blanco²

2016

J Pain Relief

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“…Their result was similar to our results. [ 22 ] In 2009, in a randomized, double-blind clinical trial study, Long et al . were injected 20 mL bupivacaine 0.5% into 45 women of the intervention group from 90 women candidate vaginal hysterectomy under general anesthesia and found that post-operative pain and use of additional narcotic in the intervention group were less than the control group.…”

Section: Discussionmentioning

confidence: 99%

“…Various studies on post-operative PC by preemptive analgesia, have conflicting results. [ 14 15 16 17 18 19 20 21 22 23 ] Someone have suggested that the effect of preemptive analgesia may vary and depends on the kind of surgery. [ 19 ] Because the so far studies on the effect of preemptive pudendal nerve block was not performed on women candidates for APR.…”

Section: Introductionmentioning

confidence: 99%

The effect of preemptive pudendal nerve block on pain after anterior and posterior vaginal repair

Rouholamin

Abedi

2015

Adv Biomed Res

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Introduction:Anterior and posterior vaginal repair (APR) is a common surgery for women with prolapse of pelvic organs which creates post-operative pain because of damage of tissues that we should manage and control this pain. For this purpose, this study was conducted in order to evaluate the effect of preemptive pudendal nerve block on post-operative pain in anterior and posterior vaginal wall repair.Materials and Methods:In a double-blinded clinical trial study, 60 women candidates of APR were randomly divided to two groups. In both of them was injected 0.3 cc/kg bupivacaine 0.25% for the intervention group or normal saline for the control group in pudendal nerve tract with the guide of nerve stimulator. A visual analog scale was used to measure pain during the first 48 h after the surgery. Data were analyzed by repeated measures analysis of variance (ANOVA).Results:Compared with the intervention group, the control group experienced greater pain during rest and walking. There were significant differences between the two groups from the first post-operative hour (P = 0.003) until 48 h after the operation (P = 0.021). Furthermore, the mean ± SD values of pain in the sitting position was not significantly different between control and intervention groups at the same time (P = 0.340).Conclusion:Preemptive pudendal nerve block can reduce post-operative pain score in anterior and posterior vaginal wall repair and this method was suggested in anterior and posterior vaginal wall repair.

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“…The use of systemic analgesics was not standardised across studies and may be a confounding factor (Hedayati et al, 2005 Level I). Following mediolateral episiotomy repair under epidural analgesia, a pudendal block with ropivacaine improved pain scores and reduced the proportion of women requiring additional analgesia (Aissaoui et al, 2008 Level II).…”

Section: Pharmacological Treatmentsmentioning

confidence: 99%

Safety of opioid patch initiation in Australian residential aged care

Gadzhanova

Roughead

Pont

2015

Medical Journal of Australia

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Objective: To explore opioid use by aged care facility residents before and after initiation of transdermal opioid patches. Design: A cross‐sectional cohort study, analysing pharmacy data on individual patient supply between 1 July 2008 and 30 September 2013. Setting: Sixty residential aged care facilities in New South Wales. Participants: Residents receiving an initial opioid patch during the study period. Main outcome measure: The proportion of residents who were opioid‐naive in the 4 weeks prior to patch initiation was determined. In addition, the patch strength at initiation and the daily dose of transdermal patches and of additional opioids 1 month after initiation were determined. Results: An opioid patch was initiated in 596 of 5297 residents (11.3%: 2.6% fentanyl, 8.7% buprenorphine) in the 60 residential aged care facilities. The mean age at initiation was 87 years, and 74% of the recipients were women. The proportion of recipients who were opioid‐naive before patch initiation was 34% for fentanyl and 49% for buprenorphine. Most were initiated at the lowest available patch strength, and the dose was up‐titrated after initiation. Around 15% of fentanyl users and 10% of buprenorphine users needed additional regular opioids after patch initiation. Conclusions: The results suggest some inappropriate initiation of opioid patches in Australian residential aged care facilities. Contrary to best practice, a third of residents initiated on fentanyl patches were opioid‐naive in the 4 weeks before initiation.

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A Randomized Controlled Trial of Pudendal Nerve Block for Pain Relief After Episiotomy

Abstract: This study demonstrates that nerve stimulator-guided unilateral pudendal nerve block with ropivacaine 7.5 mg/mL is associated with decreased pain and need for additional analgesics during the first 48 h postepisiotomy.

Cited by 39 publications

References 20 publications

Anterior Approach for Ultrasound-guided Pudendal Block

Anterior Approach for Ultrasound-guided Pudendal Block

The effect of preemptive pudendal nerve block on pain after anterior and posterior vaginal repair

Safety of opioid patch initiation in Australian residential aged care

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