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Clinical Trial
. 2001 Sep;29(9):594-8.
doi: 10.1016/s1297-9589(01)00191-6.

[Ovarian puncture in fertilization in vitro: what analgesia?]

[Article in French]
A Zaccabri  1 , J Fresson, E Denis, F Guillet-May, P Barbarino, T Routiot
Affiliations
Clinical Trial

[Ovarian puncture in fertilization in vitro: what analgesia?]

[Article in French]
A Zaccabri et al. Gynecol Obstet Fertil. 2001 Sep.

Abstract

We compared two techniques of local anesthesia used in transvaginal ultrasound guided oocyte recovery in in vitro fertilization: paracervical lidocaïne block versus vaginal application of Emla, a topical anesthesic cream.

Study design: The study included 103 patients divided in two groups. Pain was evaluated by visual analog scale and questionnaire.

Results: Univariate analysis showed that the patients were satisfied with neither of the two protocols. Multivariate analysis revealed paracervical lidocaïne block to be superior. The premedication appeared inadequate.

Conclusion: We decide to use paracervical lidocaïne block and to improve the premedication. Indications for general and locoregional anesthesia were also enlarged. A new study showed a significantly greater patient satisfaction. One variable analysis indicated that no one of these protocols satisfied our patients.

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