title: [Ovarian puncture in fertilization in vitro: what analgesia?].
abstract: We compared two techniques of local anesthesia used in transvaginal ultrasound guided oocyte recovery in in vitro fertilization: paracervical lidocaïne block versus vaginal application of Emla, a topical anesthesic cream.
  
  
  METHODS
  The study included 103 patients divided in two groups. Pain was evaluated by visual analog scale and questionnaire.
  
  
  RESULTS
  Univariate analysis showed that the patients were satisfied with neither of the two protocols. Multivariate analysis revealed paracervical lidocaïne block to be superior. The premedication appeared inadequate.
  
  
  CONCLUSIONS
  We decide to use paracervical lidocaïne block and to improve the premedication. Indications for general and locoregional anesthesia were also enlarged. A new study showed a significantly greater patient satisfaction. One variable analysis indicated that no one of these protocols satisfied our patients.
authors.affiliation: UF PMA, maternité régionale de Nancy, 10, rue Heydenreich, 54 000 Nancy, France.
authors.forename: A
authors.initials: A
authors.lastname: Zaccabri
authors.forename: J
authors.initials: J
authors.lastname: Fresson
authors.forename: E
authors.initials: E
authors.lastname: Denis
authors.forename: F
authors.initials: F
authors.lastname: Guillet-May
authors.forename: P
authors.initials: P
authors.lastname: Barbarino
authors.forename: T
authors.initials: T
authors.lastname: Routiot
mesh_terms: D000282:Administration, Intravaginal; D000698:Analgesia; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D008012:Lidocaine / Q000008:administration & dosage; D000077442:Lidocaine, Prilocaine Drug Combination; D010053:Ovary / Q000166:cytology*; D017060:Patient Satisfaction; D011318:Prilocaine / Q000008:administration & dosage; D020858:Tissue and Organ Harvesting / Q000379:methods*
chemical_list: D000077442:Lidocaine, Prilocaine Drug Combination; D011318:Prilocaine; D008012:Lidocaine