Cancer News
OncoLink Cancer News - HealthDay


Lidocaine Spray Effective Anesthesia in LEEP

Wednesday, August 14, 2013 (Last Updated: 08/15/2013)

WEDNESDAY, Aug. 14 (HealthDay News) -- For patients undergoing a loop electrosurgical excision procedure (LEEP), a lidocaine spray is safe and effective for local anesthesia, according to a study published online Aug. 5 in Obstetrics & Gynecology.

Asama Vanichtantikul, M.D., and Kittipat Charoenkwan, M.D., from Chiang Mai University in Thailand, randomly assigned women undergoing LEEP for cervical intraepithelial neoplasia to receive anesthesia either by 1.8 mL (36 mg) of 2 percent lidocaine with 1:100,000 epinephrine injected submucosally using a pressure syringe injector with a 27-gauge needle tip at 3, 6, 9, and 12 o'clock locations of the ectocervix (51 patients) or local anesthesia with four puffs (40 mg) of 10 percent lidocaine spray applied thoroughly to the ectocervix (50 patients). A 10-cm visual analog scale was utilized at different points during the procedure (baseline, post-anesthesia, excision, and 30 minutes post-excision) to rate pain.

The researchers found that the two groups had comparable scores for baseline pain scores, the excision pain scores, the difference between the excision and the baseline pain scores, and the post-excision pain scores. The median post-anesthesia pain score and the median difference of the post-anesthesia score from baseline were significantly higher in the injection group compared to the spray group.

"Lidocaine spray is an effective and practical alternative measure for reducing pain associated with electrical excision of the cervix during LEEP," the authors write.

Abstract
Full Text (subscription or payment may be required)

Specialties OBGYN & Women's Health
Nursing
Family Practice

Copyright © 2013 HealthDay. All rights reserved.


I Wish You Knew

Understanding prostate cancer screening

View More



Blogs and Web Chats

OncoLink Blogs give our readers a chance to react to and comment on key cancer news topics and provides a forum for OncoLink Experts and readers to share opinions and learn from each other.




OncoLink OncoPilot

Facing a new cancer diagnosis or changing the course of your current treatment? Let our cancer nurses help you through!

Learn More