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- Publisher Website: 10.1093/humrep/17.5.1222
- Scopus: eid_2-s2.0-0036107793
- PMID: 11980742
- WOS: WOS:000175387700016
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Article: A randomized, double blind, placebo-controlled study to investigate the use of conscious sedation in conjunction with paracervical block for reducing pain in termination of first trimester pregnancy by suction evacuation
Title | A randomized, double blind, placebo-controlled study to investigate the use of conscious sedation in conjunction with paracervical block for reducing pain in termination of first trimester pregnancy by suction evacuation |
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Authors | |
Keywords | Conscious sedation Pain relief Paracervical block Suction evacuation Termination of pregnancy |
Issue Date | 2002 |
Publisher | Oxford University Press. The Journal's web site is located at http://humrep.oxfordjournals.org/ |
Citation | Human Reproduction, 2002, v. 17 n. 5, p. 1222-1225 How to Cite? |
Abstract | Background: This study evaluated the role of conscious sedation in pain relief during termination of first trimester pregnancy by suction evacuation (SE) under local anaesthesia. Methods: A hundred women undergoing SE before 12 weeks gestation were randomized by computer using the sealed envelope method to receive placebo (saline) or conscious sedation (2 mg midazolam and 25 μg fentanyl) i.v. 5 min before cervical delatation. Paracervical block was given to all patients, 2 min later. Pain scores during and after SE, post-operative side-effects and satisfaction level were compared. Results: No statistically significant differences in pain scores were found between the two groups. Post-operative side-effects such as dizziness (P = 0.015) and drowsiness (P < 0.001) were significantly more severe in the conscious sedation group. However, patients in the conscious sedation group reported better satisfaction levels than the control group (P = 0.003). Conclusion: The use of conscious sedation significantly improved patient satisfaction during termination of first trimester pregnancy by SE under local anaesthesia, despite a lack of improvement in pain relief and the presence of increased severe dizziness/drowsiness in the post-operative period. |
Persistent Identifier | http://hdl.handle.net/10722/87387 |
ISSN | 2023 Impact Factor: 6.0 2023 SCImago Journal Rankings: 1.852 |
ISI Accession Number ID | |
References |
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Wong, CYG | en_HK |
dc.contributor.author | Ng, EHY | en_HK |
dc.contributor.author | Ngai, SW | en_HK |
dc.contributor.author | Ho, PC | en_HK |
dc.date.accessioned | 2010-09-06T09:29:01Z | - |
dc.date.available | 2010-09-06T09:29:01Z | - |
dc.date.issued | 2002 | en_HK |
dc.identifier.citation | Human Reproduction, 2002, v. 17 n. 5, p. 1222-1225 | en_HK |
dc.identifier.issn | 0268-1161 | en_HK |
dc.identifier.uri | http://hdl.handle.net/10722/87387 | - |
dc.description.abstract | Background: This study evaluated the role of conscious sedation in pain relief during termination of first trimester pregnancy by suction evacuation (SE) under local anaesthesia. Methods: A hundred women undergoing SE before 12 weeks gestation were randomized by computer using the sealed envelope method to receive placebo (saline) or conscious sedation (2 mg midazolam and 25 μg fentanyl) i.v. 5 min before cervical delatation. Paracervical block was given to all patients, 2 min later. Pain scores during and after SE, post-operative side-effects and satisfaction level were compared. Results: No statistically significant differences in pain scores were found between the two groups. Post-operative side-effects such as dizziness (P = 0.015) and drowsiness (P < 0.001) were significantly more severe in the conscious sedation group. However, patients in the conscious sedation group reported better satisfaction levels than the control group (P = 0.003). Conclusion: The use of conscious sedation significantly improved patient satisfaction during termination of first trimester pregnancy by SE under local anaesthesia, despite a lack of improvement in pain relief and the presence of increased severe dizziness/drowsiness in the post-operative period. | en_HK |
dc.language | eng | en_HK |
dc.publisher | Oxford University Press. The Journal's web site is located at http://humrep.oxfordjournals.org/ | en_HK |
dc.relation.ispartof | Human Reproduction | en_HK |
dc.rights | Human Reproduction. Copyright © Oxford University Press. | en_HK |
dc.subject | Conscious sedation | en_HK |
dc.subject | Pain relief | en_HK |
dc.subject | Paracervical block | en_HK |
dc.subject | Suction evacuation | en_HK |
dc.subject | Termination of pregnancy | en_HK |
dc.title | A randomized, double blind, placebo-controlled study to investigate the use of conscious sedation in conjunction with paracervical block for reducing pain in termination of first trimester pregnancy by suction evacuation | en_HK |
dc.type | Article | en_HK |
dc.identifier.openurl | http://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0268-1161&volume=17&issue=5&spage=1222&epage=1225&date=2002&atitle=A+randomized,+double+blind,+placebo-controlled+study+to+investigate+the+use+of+conscious+sedation+in+conjunction+with+paracervical+block+for+reducing+pain+in+termination+of+first+trimester+pregnancy+by+suction+evacuation | en_HK |
dc.identifier.email | Ng, EHY:nghye@hkucc.hku.hk | en_HK |
dc.identifier.email | Ho, PC:pcho@hku.hk | en_HK |
dc.identifier.authority | Ng, EHY=rp00426 | en_HK |
dc.identifier.authority | Ho, PC=rp00325 | en_HK |
dc.description.nature | link_to_OA_fulltext | - |
dc.identifier.doi | 10.1093/humrep/17.5.1222 | - |
dc.identifier.pmid | 11980742 | - |
dc.identifier.scopus | eid_2-s2.0-0036107793 | en_HK |
dc.identifier.hkuros | 66984 | en_HK |
dc.relation.references | http://www.scopus.com/mlt/select.url?eid=2-s2.0-0036107793&selection=ref&src=s&origin=recordpage | en_HK |
dc.identifier.volume | 17 | en_HK |
dc.identifier.issue | 5 | en_HK |
dc.identifier.spage | 1222 | en_HK |
dc.identifier.epage | 1225 | en_HK |
dc.identifier.isi | WOS:000175387700016 | - |
dc.publisher.place | United Kingdom | en_HK |
dc.identifier.scopusauthorid | Wong, CYG=9234680400 | en_HK |
dc.identifier.scopusauthorid | Ng, EHY=35238184300 | en_HK |
dc.identifier.scopusauthorid | Ngai, SW=7006074214 | en_HK |
dc.identifier.scopusauthorid | Ho, PC=7402211440 | en_HK |
dc.identifier.issnl | 0268-1161 | - |