Pain Control with Epidural Anesthesia for Uterine Artery Embolization

Shigeyuki Saito, Ai Chiba, Seiichiro Hayakawa, Masafumi Toyoshima, Akemi Enomoto

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)


Background: To reduce the severity of post procedure pain associated with uterine artery embolization (UAE) for leiomyomata, we used continuous infusion of low concentration ropivacaine through an epidural catheter. Methods: Thirteen patients for UAE were evaluated. In a patient without indication for epidural anesthesia, the pain was controlled with intermittent morphine infusion. Other patients had post procedure pain managed with 10 ml bolus of 1% lidocaine and continuous infusion of 0.2% ropivacaine at 5 ml · hr -1 for 16 hours. Results: The patient complained of severe pain just after UAE and required epidural lidocaine. Then, we started to infuse lidocaine or ropivacaine just before starting UAE. Among these cases, 9 patients required extra pain control using NSAIDs as a rescue. Only three patients required no medication except epidural analgesia. Conclusions: Continuous infusion of 0.2% ropivacaine at a rate of 5 ml · hr-1 is not enough for pain management after UAE.

Original languageEnglish
Pages (from-to)391-395
Number of pages5
JournalJapanese Journal of Anesthesiology
Issue number4
Publication statusPublished - 2004 Apr
Externally publishedYes


  • Epidural anesthesia
  • Pain management
  • Ropivacaine
  • Uterine artery embolization

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine


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