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Effect of anaesthetic spray in addition to local injectable anaesthesia as pain relief for scrapping the inner layer of uterus

Not yet recruiting
Conditions
Diseases of the genitourinary system, (2) ICD-10 Condition: O||Medical and Surgical,
Registration Number
CTRI/2021/01/030835
Lead Sponsor
Mahatma Gandhi Medical College and research Institute
Brief Summary

Patients fulfilling the eligibilty criteria will be included after obtaining informed  consent. Detailed history, clinical examination and routine preoperative investigation will be done and patients will be allocated into group 1 and group 2.In Group 1 patients 10ml of 1% lignocaine will be injected paracervically at 5 and 7 o’ clock at the junction of cervix and vagina for Paracervical block(PCB). In Group 2 patients,3 puffs of lignocaine spray(30mg of 10% lignocaine) will be directed on cervix and vaginal vault. After a waiting period of 2 minutes cervix will be held with  an instrument and another 3 puffs will be directed towards the cervical external os. After further waiting period of 2 minutes 10ml of lignocaine will be injected paracervically at 5 and 7 o’clock at the junction of cervix and vagina for PCB .After PCB patients will undergo uterine curettage procedures according to the institution protocol. Pain score will be qualified by numeric pain rating scale(NPRS) which will be explained to the patient before the procedure. NPRS will be used after holding the cervix, immediately after the procedure,30 minutes and 1 hour after the procedure.

Detailed Description

Not available

Recruitment & Eligibility

Status
Not Yet Recruiting
Sex
Female
Target Recruitment
100
Inclusion Criteria

Patients planned for uterine curettage procedure under paracervical block.

Exclusion Criteria

Hypersensitivity to lignocaine Active genital tract infection Past history of cervical surgery History of chronic pelvic pain.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To compare the effect of lignocaine spray plus paracervical block with paracervical block alone for pain relief byTill 1 hour post procedure
immediately after procedureTill 1 hour post procedure
after holding the cervix with instrumentTill 1 hour post procedure
30 minutes post procedureTill 1 hour post procedure
1 hour post procedureTill 1 hour post procedure
Secondary Outcome Measures
NameTimeMethod
Side effects between the 2 groupsCompare satisfaction score between the 2 groups using 5 point likert scale

Trial Locations

Locations (1)

Department of obstetrics and gynecology

🇮🇳

Pondicherry, PONDICHERRY, India

Department of obstetrics and gynecology
🇮🇳Pondicherry, PONDICHERRY, India
Dr Ramalakshmi
Principal investigator
9629162506
padma95lakshmi@gmail.com

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