title: Pain relief for obstetric and gynecologic ambulatory procedures.
abstract: As minor gynecologic procedures move from the operating room to the office, providers need to ensure that patients are comfortable and that procedures are performed safely. Although local anesthesia is commonly used for gynecologic procedures, a multimodal approach may be more effective. If necessary, sedation can be safely provided in an office setting with the correct tools and training. This article reviews evidence-based approaches to pain management for gynecologic procedures in the ambulatory setting.
authors.affiliation: Department of Obstetrics and Gynecology, Warren Alpert Medical School of Brown University, Women & Infants Hospital, 101 Dudley Street, Providence, RI 02905, USA. Electronic address: rhallen@wihri.org.
authors.forename: Rebecca H
authors.initials: RH
authors.lastname: Allen
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Micks
authors.forename: Alison
authors.initials: A
authors.lastname: Edelman
mesh_terms: D000556:Ambulatory Surgical Procedures / Q000379:methods* / Q000592:standards; D000772:Anesthesia, Local / Q000379:methods*; D000779:Anesthetics, Local / Q000627:therapeutic use; D014151:Anti-Anxiety Agents / Q000627:therapeutic use*; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use*; D001706:Biopsy; D003127:Colposcopy / Q000379:methods; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods* / Q000592:standards; D006801:Humans; D015907:Hysteroscopy / Q000379:methods; D009407:Nerve Block / Q000379:methods*; D013513:Obstetric Surgical Procedures / Q000379:methods* / Q000592:standards; D010147:Pain Measurement; D061214:Patient Safety; D017060:Patient Satisfaction; D011247:Pregnancy
chemical_list: D000779:Anesthetics, Local; D014151:Anti-Anxiety Agents; D000894:Anti-Inflammatory Agents, Non-Steroidal
keywords: Ambulatory; Colposcopy; Endometrial biopsy; Hysteroscopy; IUD; Pain; Paracervical block; Uterine aspiration