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Nitrous oxide for pain management of first-trimester instrumental termination of pregnancy under local anaesthesia and/or minimal sedation: A systematic review and meta-analysis

European Journal of Obstetrics & Gynecology and Reproductive Biology Apr 28, 2021

Schmitt A, Cardinale C, Loundou A, et al. - Given that N 2 O/O 2 could be useful in the treatment of the pain in the first‐trimester termination of pregnancy performed under local anaesthesia and/or minimal sedation (FTOPL), researchers conducted this systematic review and meta-analysis to assess the usefulness of N 2 O/O 2 to reduce pain in FTOPL. All studies comparing the use of N2O/O2 vs placebo in the management of pain during FTOPL during the first trimester were involved. For perioperative pain, there was a significant difference in favour of N 2 O/O 2. However, there was no difference in postoperative pain or secondary effects (nausea, vomiting). N 2 O/O 2 decreases the pain of FTOPL. N 2 O/O 2 could be suggested in FTOPL.

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