Pain Relief for Obstetric and Gynecologic Ambulatory Procedures

被引:30
作者
Allen, Rebecca H. [1 ]
Micks, Elizabeth [2 ]
Edelman, Alison [3 ]
机构
[1] Brown Univ, Women & Infants Hosp, Warren Alpert Med Sch, Dept Obstet & Gynecol, Providence, RI 02905 USA
[2] Univ Washington, Dept Obstet & Gynecol, Seattle, WA 98195 USA
[3] Oregon Hlth & Sci Univ, Dept Obstet & Gynecol, Portland, OR 97239 USA
关键词
Pain; Paracervical block; IUD; Hysteroscopy; Endometrial biopsy; Colposcopy; Uterine aspiration; Ambulatory; RANDOMIZED-CONTROLLED-TRIAL; 1ST-TRIMESTER SURGICAL ABORTION; INTRAUTERINE-DEVICE INSERTION; ENDOMETRIAL BIOPSY; OUTPATIENT HYSTEROSCOPY; PARACERVICAL-BLOCK; NULLIPAROUS WOMEN; DOUBLE-BLIND; OFFICE HYSTEROSCOPY; TOPICAL ANESTHESIA;
D O I
10.1016/j.ogc.2013.08.005
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
As minor gynecologic procedures move from the operating room to the office, providers need to ensure that patients are comfortable and that procedures are performed safely. Although local anesthesia is commonly used for gynecologic procedures, a multimodal approach may be more effective. If necessary, sedation can be safely provided in an office setting with the correct tools and training. This article reviews evidence-based approaches to pain management for gynecologic procedures in the ambulatory setting.
引用
收藏
页码:625 / +
页数:22
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