Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
2669384 | Journal of PeriAnesthesia Nursing | 2016 | 8 Pages |
PurposeThe purpose of this study was to compare two anesthetic techniques for postoperative pain after ambulatory operative hysteroscopy.DesignA randomized trial.MethodsWomen (N = 153) scheduled for ambulatory operative hysteroscopy were assigned to receive either paracervical local anesthesia combined with sedation (group LA + S; n = 76) or general anesthesia (group GA; n = 77). Primary outcome was the worst pain intensity score in the postanesthesia care unit (PACU) rated by the patients on a numerical rating scale.FindingData from 144 patients were available for analysis (LA + S: n = 69; GA: n = 75). There were no significant differences in worst pain intensity between groups in the PACU (P = .13) or after discharge from PACU (P = .40). In group LA + S, fewer patients received treatment with intravenous fentanyl intraoperatively (P < .01) and time until discharge from PACU was shorter (P < .01). More patients in group LA + S experienced vomiting after discharge (P < .05).ConclusionsLocal anesthesia with sedation can be recommended as a first choice anesthetic technique for operative ambulatory hysteroscopy.