Anesthesia and Analgesia for Office Gynecological Procedures

  • Nicholas Marcanthony
  • Sharon Marcanthony
  • Englok Yap


Effective anesthetic coverage with regional anesthesia for any procedure involves a fundamental knowledge of several key ideas. This chapter will discuss regional anesthesia used for in-office gynecological procedures. It will review local anesthetics, their mechanism of action, and the means to which they can be augmented for nerve blocks. The basic anatomy of cervical and perineal nerves will also be discussed. In addition, proper equipment and regional techniques that can be utilized for office procedures is a key topic in this chapter. This chapter will try to familiarize the reader with the proper equipment and medications needed to provide a safe and effective regional anesthetic. Finally, the various complications that can arise from performing a nerve block will be reviewed.


Local Anesthetic Regional Anesthesia Deep Sedation Careful Aspiration Sacrospinous Ligament 
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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Nicholas Marcanthony
    • 1
    • 2
  • Sharon Marcanthony
    • 3
  • Englok Yap
    • 4
  1. 1.Department of AnesthesiologyCleveland ClinicClevelandUSA
  2. 2.Anesthesiology Institute, Cleveland Clinic WoosterClevelandUSA
  3. 3.Department of Obstetrics/GynecologyWomen’s Health Institute, Cleveland ClinicWoosterUSA
  4. 4.Cleveland Pain Management and Acupuncture LLCBeachwoodUSA

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