Tubal surface lidocaine mediates pre-emptive analgesia in awake laparoscopic sterilization: A prospective, randomized clinical trial

OBJECTIVE: The purpose of this study was to determine whether lidocaine that is instilled onto the Fallopian tubes reduces pain scores in awake patients who undergo laparoscopic sterilization with Filshie clips. STUDY DESIGN: This was a prospective, randomized, placebo-controlled, double-blinded, cl...

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Bibliographic Details
Published in:American journal of obstetrics and gynecology 2002-03, Vol.186 (3), p.383-388
Main Authors: Garwood, Susan, Reeder, Martin, Mackenzie, Ian Z., Guillebaud, John
Format: Article
Language:English
Subjects:
Adult
Analgesia
Anesthesia
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Anesthetics, Local - administration & dosage
Anesthetics, Local - adverse effects
Anesthetics, Local - therapeutic use
Biological and medical sciences
Double-Blind Method
Fallopian Tubes - drug effects
Female
Filshie clip
Humans
Intraoperative Period
Laparoscopic sterilization
Laparoscopy
lidocaine
Lidocaine - administration & dosage
Lidocaine - adverse effects
Lidocaine - therapeutic use
local anesthesia
Local anesthesia. Pain (treatment)
Medical sciences
outpatient
Pain - drug therapy
Pain - physiopathology
Pain, Postoperative - drug therapy
Pain, Postoperative - physiopathology
Patient Satisfaction
Prospective Studies
Recovery of Function
Sterilization, Tubal - instrumentation
Sterilization, Tubal - methods
Surgical Instruments
Time Factors
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Summary:OBJECTIVE: The purpose of this study was to determine whether lidocaine that is instilled onto the Fallopian tubes reduces pain scores in awake patients who undergo laparoscopic sterilization with Filshie clips. STUDY DESIGN: This was a prospective, randomized, placebo-controlled, double-blinded, clinical trial study that was approved by our institutional review board. RESULTS: Pain scores (visual analogue scales) were lower in the lidocaine group (n = 12 patients) than in the placebo group (n = 12 patients) at clip application (6 vs 71 mm; P
ISSN:0002-9378
1097-6868
DOI:10.1067/mob.2002.121079