Society of Family Planning clinical recommendations: Pain control in surgical abortion part 2 - Moderate sedation, deep sedation, and general anesthesia
- PMID: 34425082
- DOI: 10.1016/j.contraception.2021.08.007
Society of Family Planning clinical recommendations: Pain control in surgical abortion part 2 - Moderate sedation, deep sedation, and general anesthesia
Abstract
Analgesic options for surgical abortion (also called procedural abortion) beyond local anesthesia and minimal sedation include moderate sedation, deep sedation and general anesthesia. These clinical recommendations review the effectiveness of various moderate sedation, deep sedation, and general anesthesia regimens for pain control during abortion; medication regimens used to induce analgesia and anesthesia; patient factors affecting anesthesia safety; preoperative and intraoperative protocols to reduce anesthesia risks; personnel qualifications for administration; recommended patient monitoring protocols; and general risks of anesthesia in the context of abortion care. The scope of these recommendations is based on limited available evidence and considerably relies on existing professional society guidelines and recommendations developed by content experts and reviewers. Further research to compare the efficacy and safety of different regimens is needed.
Keywords: Deep sedation; General anesthesia; Moderate sedation; Pain relief for surgical abortion.
Copyright © 2021 Elsevier Ltd. All rights reserved.
Similar articles
-
Society of Family Planning clinical guidelines pain control in surgical abortion part 1 - local anesthesia and minimal sedation.Contraception. 2018 Jun;97(6):471-477. doi: 10.1016/j.contraception.2018.01.014. Epub 2018 Jan 31. Contraception. 2018. PMID: 29407363 Review.
-
Procedural Sedation.2023 Jul 3. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. 2023 Jul 3. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. PMID: 31869149 Free Books & Documents.
-
Complications of Moderate Sedation Versus Deep Sedation/General Anesthesia for Adolescent Patients Undergoing Third Molar Extraction.J Oral Maxillofac Surg. 2016 Mar;74(3):474-9. doi: 10.1016/j.joms.2015.10.009. Epub 2015 Oct 16. J Oral Maxillofac Surg. 2016. PMID: 26546845
-
Statement on patient safety principles for office-based surgery utilizing moderate sedation/analgesia, deep sedation/analgesia, or general anesthesia.Bull Am Coll Surg. 2004 Apr;89(4):32-4. Bull Am Coll Surg. 2004. PMID: 18435087 No abstract available.
-
Pain control in first-trimester surgical abortion: a systematic review of randomized controlled trials.Contraception. 2010 May;81(5):372-88. doi: 10.1016/j.contraception.2009.12.008. Epub 2010 Jan 27. Contraception. 2010. PMID: 20399943 Review.
Cited by
-
Substance Use and Anxiety About Pain Among Patients Seeking Abortion Services.Cureus. 2024 Mar 27;16(3):e57034. doi: 10.7759/cureus.57034. eCollection 2024 Mar. Cureus. 2024. PMID: 38681459 Free PMC article.
-
Fear of procedure and pain in individuals considering abortion: A qualitative study.Patient Educ Couns. 2023 Mar;108:107611. doi: 10.1016/j.pec.2022.107611. Epub 2022 Dec 19. Patient Educ Couns. 2023. PMID: 36603469 Free PMC article.
-
Vomiting and risk of endotracheal intubation related to preoperative doxycycline use for dilation and evacuation.Contraception. 2022 Nov;115:49-52. doi: 10.1016/j.contraception.2022.06.002. Epub 2022 Jun 17. Contraception. 2022. PMID: 35718137 Free PMC article. Review.
MeSH terms
LinkOut - more resources
Full Text Sources