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Uptodate Reference Title
Paracervical block
Paracervical block
Paracervical block is placed by injecting a total dose of 10 to 20 mL of anesthetic agent (usually 1% lidocaine or 2-chloroprocaine) approximately 10 mm into the cervical stroma at the 4 and 8 o'clock positions (some operators inject at the 2, 4, 8, and 10 o'clock positions) at the cervicovaginal junction.
Adapted from an illustration in: Shulman LP, Ling FW. Surgical termination of pregnancy. In: Gynecologic surgery, Mann WJ, Stovall TG (Eds), Churchill Livingstone, Inc, 1996.