Paracervical block with combined ketorolac and lidocaine in first-trimester surgical abortion

A randomized controlled trial

Catherine Cansino, Alison Edelman, Anne Burke, Roxanne Jamshidi

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

OBJECTIVE: To study the effects of a paracervical block with combined ketorolac and lidocaine on perceived pain during first-trimester surgical abortion. METHODS: A double-masked, placebo-controlled, randomized clinical trial of 50 women undergoing first-trimester surgical abortions (before 11 weeks of gestation) received either oral ibuprofen with a lidocaine-alone paracervical block or an oral placebo and paracervical block with combined ketorolac and lidocaine. Women completed a series of 100-mm visual analog scales (anchors: 0=none, 100 mm=worst imaginable) to measure their perceived pain (anticipated pain, pain during and after surgical abortion, and total satisfaction). RESULTS: Twenty-five women received preoperative oral ibuprofen followed by paracervical block with lidocaine alone, and 25 received oral placebo followed by paracervical block with combined ketorolac and lidocaine. Groups were similar with respect to sociodemographic variables. Women who received paracervical block with combined ketorolac and lidocaine reported significantly less pain after cervical dilation (59.8 compared with 74.8 mm, P

Original languageEnglish (US)
Pages (from-to)1220-1226
Number of pages7
JournalObstetrics and Gynecology
Volume114
Issue number6
DOIs
StatePublished - Dec 2009
Externally publishedYes

Fingerprint

Ketorolac
Obstetrical Anesthesia
First Pregnancy Trimester
Lidocaine
Randomized Controlled Trials
Pain
Ibuprofen
Placebos
Neck Pain
Visual Analog Scale
Dilatation
Pregnancy

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Paracervical block with combined ketorolac and lidocaine in first-trimester surgical abortion : A randomized controlled trial. / Cansino, Catherine; Edelman, Alison; Burke, Anne; Jamshidi, Roxanne.

In: Obstetrics and Gynecology, Vol. 114, No. 6, 12.2009, p. 1220-1226.

Research output: Contribution to journalArticle

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