Pudendal nerve block

Abstract

A technique for pudendal nerve block anaesthesia for routine use is described. Cases delivered under pudendal block and those under general anaesthesia are recorded and analysed. An unconventional use of pethidine hydrochloride and self-administered trichlorethylene as an adjunct to pudendal block is described and discussed. A critical study of local analgesic agents commonly used for this purpose has been made. It is concluded that 40 ml. of 1% procaine hydrochloride (plain), injected according to the technique described above, produces a satisfactory pudendal nerve block and perineal analgesia ; also that the perineal analgesia so developed, when combined with the use of pethidine and self-administered trilene analgesia, permits most of the operative vaginal deliveries to be carried out without general anaesthesia. © 1959, British Medical Journal Publishing Group. All rights reserved.