Discomfort after outpatient abortion using paracervical block: a comparison between two opioids and one non-opioid drug for premedication.
One hundred and one patients undergoing outpatient abortion using local anesthesia were randomly allocated to one of three different premedications: morphine-scopolamine, pethidine or midazolam. The incidence of pain, anxiety, emetic (nausea-vomiting) and patient cooperation was analyzed. Discomfort was frequently noticed, 79 patients reported pain, 57 nausea and 26 vomited at least once during the postoperative period which lasted 2.6 h (mean value). There were no major differences in complaints among the different premedication groups. Nausea, though, was correlated to pain. Symptoms of pain, nausea and vomiting were frequent after abortion under paracervical block. These complaints were not found to be related to the type of premedication or other circumstances in the perioperative period.
Jakobbson
J
J
Department of Anesthesiology and Intensive Care, Karolinska Institute, Danderyd University Hospital, Stockholm, Sweden.
Andreen
M
M
Westgren
M
M
Thomasson
K
K
D000028:Abortion, Induced / Q000009:adverse effects / Q000379:methods*; D000328:Adult; D000553:Ambulatory Care; D000772:Anesthesia, Local / Q000009:adverse effects / Q000379:methods*; D001007:Anxiety / Q000209:etiology; D005260:Female; D006801:Humans; D008614:Meperidine / Q000008:administration & dosage; D008874:Midazolam / Q000008:administration & dosage; D009020:Morphine / Q000008:administration & dosage; D009325:Nausea / Q000209:etiology; D010149:Postoperative Pain / Q000517:prevention & control; D011184:Postoperative Period; D011247:Pregnancy; D011292:Premedication; D011897:Random Allocation; D012601:Scopolamine / Q000008:administration & dosage; D014839:Vomiting / Q000209:etiology
D009020:Morphine; D008614:Meperidine; D012601:Scopolamine; D008874:Midazolam