Pain relief in outpatient hysteroscopy: a survey of current UK clinical practice

被引:33
|
作者
O'Flynn, Helena [3 ]
Murphy, Lauren L. [3 ]
Ahmad, Gaity [2 ]
Watson, Andrew J. S. [1 ]
机构
[1] Tameside Gen Hosp, Dept Obstet & Gynaecol, Ashton Under Lyne OL6 9RW, Lancs, England
[2] Pennine Acute, Dept Obstet & Gynaecol, Manchester, England
[3] Univ Manchester, Sch Med, Manchester, Lancs, England
关键词
Outpatient hysteroscopy; Pain relief; Analgesia; Local anaesthesia; RANDOMIZED CONTROLLED-TRIAL; PLACEBO-CONTROLLED TRIAL; DOUBLE-BLIND; PARACERVICAL ANESTHESIA; POSTMENOPAUSAL WOMEN; ENDOMETRIAL BIOPSY; EFFICACY; WELL;
D O I
10.1016/j.ejogrb.2010.08.015
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Background: Outpatient hysteroscopy is increasingly being used as a cost-effective alternative to inpatient hysteroscopy under general anaesthesia. Like other outpatient gynaecological procedures, however, it has the potential to cause pain severe enough for the procedure to be abandoned. There are no national guidelines on pain relief for outpatient hysteroscopy. Methods: A postal survey of UK gynaecologists was carried out to evaluate current clinical practice regarding methods of pain relief used during office hysteroscopy. A total of 250 questionnaires were sent out and 115 responses received. Results: Outpatient hysteroscopy was offered by 76.5% of respondents. Respondents reported a wide variation in the use of routine and rescue analgesia, and also in the nature of the analgesia used. One-quarter of those offering outpatient hysteroscopy used no form of analgesia. Conclusion: The results showed that whilst there is no consensus on the type of analgesia provided, rescue analgesia is commonly being used, particularly in the form of intracervical blocks. (c) 2010 Published by Elsevier Ireland Ltd.
引用
收藏
页码:9 / 15
页数:7
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