The efficacy & safety of paracervical block with conscious sedation in surgical evacuation of early pregnancy
Background: Regional anesthesia is an easy, safe and has much less complications than General anesthesia especially in minor surgical procedures. This study is done to assess the safety & feasibility of Paracervical Block with conscious sedation in surgical evacuation of early pregnancy.
Materials & methods: Our study was a prospective observational study carried out in a tertiary care teaching center in Pune. Total of 119 patients were included in the study who had undergone surgical evacuation of first trimester pregnancy between Aug 2014 to July 2016. Patients were given 10 ml of Lignocaine 2% in paracervical block & Inj Midazolam 0.04mg/Kg body wt. and Inj Fentanyl 0.002mg/Kg for conscious sedation. Primary outcome includes success of the procedure as assessed by the patients.
Results: The opinion of the patients immediately after and 24 hrs after the surgery has shown that 97.5% of our patient have accepted the technique. The vital parameters were quite stable in both intra operative and post operative period as compared to its pre operative values. Our technique in the study was well tolerated by most of the patients with only 5.8% patients had minor and non serious side effects. It is clearly evident by about 3 hours of procedure patients were back to normal pre operative state.
Conclusion: Paracervical block with conscious sedation is an effective and safe method for surgical evacuation of early pregnancy.
Copyright (c) 2017 International Journal of Biomedical and Advance Research
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (SeeThe Effect of Open Access).
- Author must Submit Copyright form After accepetance of Article.