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[Ovarian puncture in fertilization in vitro: what analgesia?]
A Zaccabri1, J Fresson, E Denis
1UF PMA, maternité régionale de Nancy, 10, rue Heydenreich, 54 000 Nancy, France.
Unlabelled:
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.
Study Design:
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.
Conclusion:
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.
