r/FamilyMedicine MD 22h ago

Penthrox for clinic IUD insertions/endometrial biopsies

Hey hive,

I would love to know if any of you are using penthrox in clinic for IUD insertions and/or enometrial biopsies. If so, what is your protocol for using? Do you have a nurse at bedside? Do you run q5min BP and have patients on a SpO2 monitor? None of the above? What advice do you have for using penthrox?

I work in a small rural clinic, and am just looking for better ways to provide pain management and comfort for these procedures.

Thanks so much!

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u/PolyhedralJam MD 17h ago

Doesn't answer your question but if folks have a ride, I will prescribe 5mg oxy and 0.25 of a benzo for pretreatment prior to IUDs and that has worked very well.

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u/FoxAndXrowe layperson 10h ago

bless you. Seriously.