At a glance
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Nitrous Oxide for Pain Management During In-office Transcervical Sterilization
In Brief
A clinical study evaluating In-office Transcervical Sterilization (Essure®), Standard Oral pain medications, and 4 other interventions for Contraception and Inhalation of Nitrous Oxide. Completed, enrolled 72 participants across 1 site.
Detailed Summary
This is a randomized, double blind study that aims to measure the difference in maximum pain experienced during in-office transcervical sterilization (Essure®) for women receiving either inhaled nitrous oxide or standard oral analgesia (Vicodin and Lorazepam) with inhaled oxygen. The investigators hypothesize that inhaled nitrous oxide will reduce the pain experienced more than standard oral medications in women undergoing in-office transcervical sterilization.
Study Details
Timeline
Interventions
The standard transcervical sterilization procedure is not being evaluated in this study, and will be performed in the same manner in the two study arms. The procedure includes a standardized paracervical block with 1% lidocaine. A 5mm operative hysteroscope is passed through the cervix and into the uterine cavity using normal saline for uterine distention. Each tubal ostium is identified, followed by deployment of the device into each fallopian tube. A confirmatory test, hysterosalpingogram, is required at 90 days post procedure to demonstrate successful sterilization.
one 5/325mg hydrocodone/acetaminophen (Vicodin) tablet and one 1mg Lorazepam tablet given to patients randomized to the active comparator arm at least 30 minutes before the procedure
30mg of intramuscular ketorolac given to all patients at least 30 minutes before the procedure
Two placebo bills given to patients randomized to the experimental arm at least 30 minutes prior to the procedure
Oxygen at 5L/min given to patients randomized to the active comparator arm
Nitrous oxide with a maximum titration of up to 70% given to patients randomized to the experimental arm