Related Experiment Video
Updated: Sep 22, 2025
05:39
Acupoint Needle-Embedding Combined with Ironing Therapy for Postoperative Pain After Anal Surgery
Published on: June 23, 2023
1.6K
Pain relief for outpatient hysteroscopy
Gaity Ahmad1, Sushant Saluja1, Helena O'Flynn1
1Department of Obstetrics and Gynaecology, Pennine Acute Hospitals NHS Trust, Manchester, UK.
The Cochrane Database of Systematic Reviews
|May 25, 2022
Summary
Pain relief during hysteroscopy lacks consistent evidence. Current pharmacological interventions show minimal clinically meaningful differences in effectiveness or safety compared to placebo or other treatments.
Area of Science:
- Gynecology
- Pain Management
- Outpatient Procedures
Background:
- Hysteroscopy is frequently performed in outpatient settings.
- Pain is a significant barrier to procedure completion and patient satisfaction.
- There is no established consensus on routine analgesia for hysteroscopy.
Purpose of the Study:
- To evaluate the effectiveness and safety of pharmacological pain relief methods for outpatient hysteroscopy.
- To compare these interventions against placebo, no treatment, or other pharmacological therapies.
Main Methods:
- Systematic review and meta-analysis of randomized controlled trials (RCTs).
- Searched multiple databases including Cochrane Gynaecology and Fertility, MEDLINE, and Embase.
- Included 32 RCTs, with data suitable for analysis from 19 studies.
Main Results:
- Low to very low-quality evidence suggests local anesthetics and NSAIDs may offer small, likely not clinically meaningful, pain reduction.
- Opioids showed mixed results, with tramadol indicating potential benefit but accompanied by side effects.
- Insufficient evidence exists for meaningful differences in safety or effectiveness across most comparisons.
Conclusions:
- No consistent, high-quality evidence supports a clinically significant difference in the effectiveness or safety of various pain relief strategies for outpatient hysteroscopy.
- Further high-quality research is needed to guide clinical practice regarding analgesia during hysteroscopy.
Related Concept Videos
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
190
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
190
01:23Peripheral Artery Disease V: Postoperative Nursing Management
29
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
29
01:15Opioid Analgesics: Synthetic and Semisynthetic Opioids
455
Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
455
01:25Endoscopic Procedures II: Colonoscopy
196
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
196
01:25Analgesia and Pain Management
829
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
829
01:29Local Anesthetics: Clinical Application as Epidural Anesthesia
510
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
510