JOURNAL HOME CME HOME THIS MONTH PAST ISSUES ETOC COLLECTIONS AUTHORS REVIEWERS EDITORIAL BOARD FEEDBACK RSS HELP
		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a colleague Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by WEISS, R. R. Articles by MANN, L. I. Search for Related Content PubMed PubMed Citation Articles by WEISS, R. R. Articles by MANN, L. I.

Paracervical Block with 2-Chloroprocaine

ROBERT R. WEISS, MD, FACOG^*, HOWARD G. NATHANSON, MD, M. REZAI TEHRANI, MD, NERGESH A. TEJANI, MD, FACOG, SIMON HALEVY, MD, and LEON I. MANN, MD, FACOG^||

*Associate Professor of Obstetrics and Gynecology, Departments of Obstetrics and Gynecology and Anesthesiology, Nassau County Medical Center, East Meadow, New York 11554. Resident in Obstetrics, Departments of Obstetrics and Gynecology and Anesthesiology, Nassau County Medical Center, East Meadow, New York 11554. Assistant Professor of Obstetrics and Gynecology, Departments of Obstetrics and Gynecology and Anesthesiology, Nassau County Medical Center, East Meadow, New York 11554. Professor of Anesthesiology, Departments of Obstetrics and Gynecology and Anesthesiology, Nassau County Medical Center, East Meadow, New York 11554. ||Professor of Obstetrics and Gynecology, Departments of Obstetrics and Gynecology and Anesthesiology, Nassau County Medical Center, East Meadow, New York 11554.

Abstract

Thirty healthy term gravidas in active labor received a paracervical block (PCB) with the ester-type local anesthetic, 2-chloroprocaine (2CP). Good to excellent pain relief resulted in all but 1 case. The duration of action was short (mean 38.9 min), requiring repeat blocks in 6/30 cases. Fetal heart rate and uterine contractions were electronically monitored, and fetal acid-base status was periodically checked by fetal scalp pH measurements. PCB-related fetal bradycardia was observed in 3 cases, but in only 1 case was PCB the only cause for the bradycardia. Fetal acidosis was not observed. No instance of neonatal depression or acidosis as expressed by the 1– and 5-minute Apgar scores and cord blood acid-base evaluation was observed. No maternal complications were observed.

It is concluded that paracervical block using 2CP is an effective though short-acting method of pain relief which, when properly monitored, is safe for both mother and fetus.

Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999