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O6| Volume 88, ISSUE 3, P435, September 2013

REFINING THE PARACERVICAL BLOCK TECHNIQUE FOR PAIN CONTROL IN FIRST TRIMESTER SURGICAL ABORTION

      The majority of first trimester surgical abortions are performed with a paracervical block (PCB). We established the benefit of a specific PCB technique: 20 mL 1% buffered lidocaine, four sites with a 3-minute wait prior to cervical dilation. This was the first PCB study to evaluate patients without intravenous medications and utilizing a sham-PCB control group. As the PCB is painful and the wait adds time, further refinement is warranted.
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