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Intraprocedural Superior Hypogastric Nerve Block Allows Same-Day Discharge following Uterine Artery Embolization
Institution:1. Department of Vascular and Interventional Radiology, Saint Louis University, 3635 Vista Ave., St. Louis, MO, 63110;2. Department of Radiology, Saint Louis University, 3635 Vista Ave., St. Louis, MO, 63110;3. Saint Louis University Center for Health Outcomes Research, Saint Louis University, 3635 Vista Ave., St. Louis, MO, 63110;4. School of Medicine, Saint Louis University, 3635 Vista Ave., St. Louis, MO, 63110;1. Dotter Department of Interventional Radiology, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Portland, OR;2. Department of Neurosurgery, National Defense Medical College, Tokorozawa, Japan;1. Department of Gastroenterology and Hepatology, Uonuma Institute of Community Medicine, Niigata University Hospital, 4132 Urasa, Minamiuonuma City, Niigata, 949-7302, Japan;2. Department of Diagnostic Radiology, National Cancer Center Hospital, Tokyo, Japan;3. Department of Radiology, Okayama University Hospital, Okayama City, Okayama, 700-8558, Japan;4. Department of Radiology, Okayama Red Cross Hospital, Okayama City, Okayama, 700-8607, Japan;5. Department of Gastroenterology and Hepatology, Niigata University Hospital, Niigata City, Niigata, Japan;1. Division of Interventional Radiology, Department of Radiology, Hospital of the University of Pennsylvania, 1 Silverstein, 3400 Spruce Street, Philadelphia, PA 19104;2. Interventional Radiology, Weill Cornell Imaging at New York-Presbyterian, New York, New York;1. Department of Radiology, Northwestern University Feinberg School of Medicine, 676 N St Clair, Suite 800, Chicago, IL, 60611;2. Department of Medicine, Northwestern University Feinberg School of Medicine, 676 N St Clair, Suite 800, Chicago, IL, 60611;1. The University of Chicago Pritzker School of Medicine, 924 East 57th Street, Suite 104, Chicago, IL 60637;2. Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts;1. Department of Interventional Radiology, The Reading Hospital and Medical Center, West Reading, Pennsylvania;2. Department of Radiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas;3. Department of Cardiovascular and Interventional Radiology, Inova Alexandria Hospital, Alexandria, Virginia;4. Department of Radiology, Haga Teaching Hospital, Den Haag, The Netherlands;5. Department of Radiology, Maastricht University Medical Center, Maastricht, The Netherlands;6. Department of Radiology, Cardiovascular Services, University of Melbourne, Royal Children’s Hospital, St Vincent’s Private Hospital, Fitzroy, Victoria, Australia
Abstract:In 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.
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