Article
Authors: Allison J. Frahm (Department of Obstetrics and Gynecology, University of Iowa Health Care, Iowa City, Iowa) , Abbey J. Hardy-Fairbanks (Department of Obstetrics and Gynecology, University of Iowa Health Care, Iowa City, Iowa) , Colleen K. Stockdale (Department of Obstetrics and Gynecology, University of Iowa Health Care, Iowa City, Iowa)
Objective: Examine the effectiveness of IV sedation in addition local analgesia compared to local analgesia alone for LEEP pain management.
Methods: This quality improvement project surveyed 89 patients who underwent a LEEP procedure: 26 in the local only group and 63 in the IV + local group. Patients completed a visual analog scale and pain survey immediately following their LEEP.
Results: The local analgesia + IV sedation group reported a lower average pain score compared to the local analgesia only group (2.4 ± 2.2 v 3.6 ± 2.7). However, this was not statistically significant, p 0.47. Patients found it was helpful to know what to expect prior to the LEEP and utilized various means of pain relief in addition to the primary treatments assessed.
Conclusions: There is a need for high quality trials to determine best practices of pain management.
Keywords: LEEP, loop electrosurgical excision procedure, analgesia, anesthetic, local
How to Cite: Frahm, A. J. , Hardy-Fairbanks, A. J. & Stockdale, C. K. (2022) “Look before you LEEP: patient reported pain with IV sedation vs local analgesia”, Proceedings in Obstetrics and Gynecology. 11(1). doi: https://doi.org/10.17077/2154-4751.31432