Estudo comparativo de midazolam com cetamina S(+) versus midazolam com bloqueio paracervical uterino para aspiração manual intra-uterina

Abstract

We concluded that anesthesia with midazolam and ketamine S(+) was better than the association of midazolam with uterine paracervical block for manual intrauterine aspiration, regarding both efficacy and postoperative analgesia. The index of satisfaction was very high for both techniques.

Ketamine Compared With Fentanyl for Surgical Abortion

“…Most superiority studies found improvement in intraoperative and postoperative pain when compared with the paracervical block or remifentanil. 11,12 Because IV fentanyl is the current standard IV sedation and is known to reduce pain, we chose a noninferiority study design to determine whether ketamine could be an alternative. Our study's primary outcome was to determine whether ketamine was noninferior in terms of patient satisfaction with anesthesia to fentanyl for procedural sedation for outpatient first-trimester surgical abortion.…”