Pain relief during minor procedures: a challenge for gynaecologists

Mittal, Pratima; Goyal, Manu

doi:10.4103/0971-5916.169192

Cited by 4 publications

(3 citation statements)

References 16 publications

(28 reference statements)

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“…Although it is a procedure performed in a short time, severe pain during the procedure requires adequate analgesia, rapid onset, and anesthesia that enables a rapid recovery (Taş et al 2014). The selection of anesthesia and analgesia depends on the effectiveness, cost, safety, adverse effects, and patient, as well as on the preference of the physician (Mittal and Goyal 2015). In the previous studies, it has been revealed that only 10% of the clinics performed the procedure under general anesthesia, while 58% of them preferred local anesthesia, and 32% performed it under local anesthesia and sedation anesthesia (Lichtenberg et al 2001).…”

Section: Introductionmentioning

confidence: 99%

The impact of intravenously administered dexketoprofen trometamol on analgesia and recovery in ambulatory dilatation and curettage procedures: a retrospective analysis

Yalçın

Şahin

Sandal

et al. 2022

Ain-Shams J Anesthesiol

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Background Achieving adequate pain control during and after the uterine D/C (dilatation and curettage) procedure is crucial for a good recovery process and early discharge. The study was conducted to find out whether intravenous dexketoprofen trometamol is more effective than tramadol and paracetamol in easing pain during the D/C procedure as well as to assess its effectiveness in the recovery period. Results Significant differences were determined between the groups regarding the values of Ramsey sedation scores (p=0.048). VAS (visual analog scale) mean values of group T were higher compared to the VAS mean values of group D (p=0.02). A significant difference was found between group P and group D (p=0.016), the mean VAS values of group P were higher than group D. Conclusions We found out that preemptive intravenous 25 mg dexketoprofen trometamol administered in the daily D/C procedure provides good quality postoperative analgesia with minimal adverse effects by reducing the need for rescue analgesia, and is more effective in postoperative analgesia than paracetamol and tramadol.

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Section: Introductionmentioning

confidence: 99%

The impact of intravenously administered dexketoprofen trometamol on analgesia and recovery in ambulatory dilatation and curettage procedures: a retrospective analysis

Yalçın

Şahin

Sandal

et al. 2022

Ain-Shams J Anesthesiol

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“…La elección de la técnica y la analgesia depende de la efectividad, el costo, la seguridad y los efectos secundarios que producen al paciente 4 . Aunque existen otras técnicas anestésicas como la anestesia general, regional y anestesia local 5 . La titulación de las dosis anestésicas debe realizarse con cuidado y la monitorización debe ser permanente de los pacientes 6 .…”

Section: Introductionunclassified

Dexmedetomidina intranasal en sedación para ginecoobstetricia

Andrade¹,

Rodríguez²

2020

Gac Med Bol

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Objetivos: evaluar el uso de la dexmedetomidina intranasal como coadyuvante para sedación en LUI y AMEU asociado al sistema de infusión controlado por objetivo. Métodos: ensayo clínico no controlado, prospectivo y simple ciego. Muestra de 48 pacientes que cumplen los criterios de inclusión. Grupo CD se administró Dexmedetomidina IN a dosis de 0,9 µg/kg y otro grupo de control. Para el análisis estadístico de variables continuas se usó media y DE; para variables ordinales se calculó frecuencia. Además de prueba T de Student y Chi ?2. Nivel de confianza de 95 % y margen de error 12%. Resultados: edad media de 32 ± 7 años; en el grupo CD la dosis de inducción y mantenimiento de remifentanil fue de 2 ± 0,7 ng/ml y en el grupo SD la dosis de inducción fue de 4,1 ± 0,7 ng/ml y de mantenimiento 3,9 ± 0,5 ng/ml; para el propofol la dosis de inducción y mantenimiento fue 3,7 ± 0,5 mcg/ml en el grupo SD mientras que, en el grupo CD la dosis de inducción y mantenimiento fue de 2,1 ± 0,5 mcg/ml. La frecuencia cardiaca de 64 – 62 y en el grupo SD fue de 70 – 67 latidos/min. La PAM asociado al dexme está por 73 mmHg y el grupo de SD es de 78 mmHg. No se verifico complicaciones por la administración de la Dexmedetomidina. Conclusiones: la dexmedetomidina IN permite disminuir la dosis de los fármacos, con estabilidad de los cambios hemodinámicos, la dosis utilizada no produce complicaciones.

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“…In many cases of AUB, histological evaluation of the endometrium is essential for accurate diagnosis. For a long time, dilatation and curettage (D&C) was considered the procedure of choice for endometrial sampling; however, this practice has now become obsolete due to the limited diagnostic accuracy of D&C and procedure-related pain (5,6).…”

mentioning

confidence: 99%

Medications for pain relief in outpatient endometrial sampling or biopsy: a systematic review and network meta-analysis

Abbas

Samy

Ali

et al. 2019

Fertility and Sterility

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Objective: To determine the most effective analgesia for pain relief during the outpatient endometrial biopsy (OEB) or outpatient hysteroscopy with endometrial aspiration (EA). Design: Systematic review and network meta-analysis of randomized controlled trials. Setting: Not applicable. Patient(s): Pre-or postmenopausal women undergoing OEB or outpatient hysteroscopy with EA for evaluation of uterine pathology. Intervention(s): We conducted an electronic search of the following bibliographic databases: Medline via PubMed, SCOPUS, Web of Science, ClinicalTrials.gov, and Cochrane Central Register of Controlled Trials (CENTRAL). Main Outcome Measure(s): The intensity of pain during, immediately after, and 10-30 minutes after procedure assessed by the 10-cm visual analog scale. Result(s): Lidocaine spray was the most effective medication for reducing pain during OEB (P-score ¼ 0.83) and immediately after OEB (P-score ¼ 0.96). On the other hand, naproxen sodium was the most effective medication for reducing pain during outpatient hysteroscopy with EA (P-score ¼ 1.00), followed by misoprostol plus lidocaine (P-score ¼ 0.87). Conclusion(s):Lidocaine spray, either alone or with topical application of lidocaine, is the most effective medication for reducing the pain during and after the OEB. Naproxen sodium is the most effective analgesic option during outpatient hysteroscopy with EA. (Fertil Steril Ò 2019;112:140-8. Ó2019 by American Society for Reproductive Medicine.) El resumen está disponible en Español al final del artículo.

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Pain relief during minor procedures: a challenge for gynaecologists

Cited by 4 publications

References 16 publications

The impact of intravenously administered dexketoprofen trometamol on analgesia and recovery in ambulatory dilatation and curettage procedures: a retrospective analysis

The impact of intravenously administered dexketoprofen trometamol on analgesia and recovery in ambulatory dilatation and curettage procedures: a retrospective analysis

Dexmedetomidina intranasal en sedación para ginecoobstetricia

Medications for pain relief in outpatient endometrial sampling or biopsy: a systematic review and network meta-analysis

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