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J Vasc Interv Radiol · Mar 2020
Intraprocedural Superior Hypogastric Nerve Block Allows Same-Day Discharge following Uterine Artery Embolization.
- Keith Pereira, Louis Maurice Morel-Ovalle, Timothy L Wiemken, Sakina Kazmi, Siddharth Rode, Anna Hardy, and Kirubahara Vaheesan.
- Department of Vascular and Interventional Radiology, Saint Louis University, 3635 Vista Ave., St. Louis, MO, 63110. Electronic address: keith.pereira@health.slu.edu.
- J Vasc Interv Radiol. 2020 Mar 1; 31 (3): 388-392.
AbstractIn a single-arm, nonrandomized, retrospective case-control study, 39 patients (mean age, 44 y) who underwent elective outpatient uterine artery embolization with the use of superior hypogastric nerve block (SNHB) for pain control over a period of 3 years were identified. Technical success of SNHB was 87%. Of the 34 patients who received SNHB, 97% did not need a patient-controlled analgesia pump. The median opioid requirement for the 17 patients who needed opioid agents was 7.5 morphine milligram equivalents (interquartile range [IQR], 10). The median length of stay was 2.2 hours (IQR, 1.7 h). SHNB offers a safe and effective intervention that significantly reduces pain and the need for opiate agents and allows same-day discharge after uterine artery embolization.Copyright © 2019 SIR. Published by Elsevier Inc. All rights reserved.
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