At a glance
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Prospective Blinded Study Looking at PO/IV Analgesia Alone Versus PO/IV Analgesia With Superior Hypogastric Nerve Block for Uterine Artery Embolization Pain Management
In Brief
A Phase 2 clinical trial evaluating Superior hypogastric nerve block, 0.75% Ropivacaine, and 2 other interventions for Leiomyoma. Completed, enrolled 44 participants across 1 site.
Detailed Summary
Uterine fibroid embolization (UFE) is now an accepted treatment of uterine fibroids. However the procedure is often very painful and, in many centres, patients are admitted overnight with patient controlled analgesic (PCA) pumps for pain control and discharged the next day with heavy pain medications. The goal of this study is to evaluate the effectiveness of a superior hypogastric nerve block (SHGNB) in controlling the pain post-UFE.
Study Details
Timeline
Interventions
21g Chiba needle advanced into the superior hypogastric plexus via an anterior infraumbilical approach using the arterial catheter as a fluoroscopic landmark to target the vertebral body below.
20 ml of 0.75% Ropivacaine
Injection into subcutaneous tissues in periumbilical region
5ml of 1% Xylocaine