Open AccessWhich Local Anesthetic is Best Suited for Paracervical Blocks?
Author(s) -
Nesheim BrittIngjerd
Publication year - 1983
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.3109/00016348309155804
Subject(s) - medicine , paracervical block , anesthetic , anesthesia , local anesthetic , lidocaine
. In a prospective, randomized study the duration and effectiveness of four different regimens of PCB were studied: Bupivacaine both with and without adrenalin, and chloroprocaine with and without adrenalin. The pain relief was immediate and almost complete in most patients in all four treatment groups. The duration of the effect of bupivacaine was the same whether adrenalin was added or not. The labors were significantly prolonged with adrenalin, however. The duration of the effect of chloroprocaine was substantially shorter than bupivacaine, but with this short‐lasting anesthetic the duration was prolonged by the addition of adrenalin. It is concluded that bupivacaine without the addition of adrenalin is the drug of choice for PCB.