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Year 2021, Volume: 34 Issue: 3, 292 - 297, 27.10.2021

Ayse Karatas E. Zeynep Etı Tumay Umuroglu Seniyye Ulgen Zengın F. Yilmaz Gogus

https://doi.org/10.5472/marumj.1013317

Abstract

References

  • [1] Lonnqvist PA, Morton NS. Paediatric day-case anaesthesia and pain control. Curr Opin Anaesthesiol 2006; 19:617-21. doi: 10.1097/ACO.0b013e3280101dab.
  • [2] Howard R, Carter B, Curry J, et al. Postoperative pain. Paediatr Anaesth 2008; 18:36-63. doi: 10.1111/j.1460- 9592.2008.02431.x.
  • [3] Paix BR, Peterson SE. Circumcision of neonates and children without appropriate anaesthesia is unacceptable practice. Anaesth Intensive Care 2012; 40:511-6. doi: 10.1177/0310057X120.400.0318.
  • [4] Cyna AM, Middleton P. Caudal epidural block versus other methods of postoperative pain relief for circumcision in boys. Cochrane Database of Syst Rev 2008;4: Art No:CD003005. doi: 10.1002/14651858.CD003005.pub2
  • [5] Naja Z, Al-Tannir MA, Faysal W, Daoud N, Ziade F, El-Rajab M. A comparison of pudendal block vs dorsal penile nerve block for circumcision in children: a randomised controlled trial. Anaesthesia 2011; 66:802-7. doi: 10.1111/j.1365- 2044.2011.06753.x
  • [6] Taddio A, Ohlsson A, Einarson TR, Stevens B, Koren G. A systematic review of lidocaine-prilocaine cream (EMLA) in the treatment of acute pain in neonates. Pediatrics 1998; 101:1-9. doi: 10.1542/peds.101.2.e1
  • [7] Linder SL, Winner P. Pediatric headache. Med Clin North Am. 2001;85:1037-53. doi:10.1016/s0025-7125(05)70358-8
  • [8] McGowan PR, May H, Molnar Z, Cunliffe M. A comparison of three methods of analgesia in children having day case circumcision. Paediatr Anaesth 1998; 8: 403-7. doi: 10.1046/j.1460-9592.1998.00270.x
  • [9] Lönnqvist PA, Morton NS. Postoperative analgesia in infants and children. Br J Anaesth 2005; 95:59-68. doi: 10.1093/bja/ aei065
  • [10] Jöhr M, Berger TM. Caudal blocks. Paediatr Anaesth 2012; 22:44-50. doi: 10.1111/j.1460-9592.2011.03669.x.
  • [11] Weksler N, Atias I, Klein M, Rosenztsveig V, Ovadia L, Gurman GM. Is penile block better than caudal epidural block for postcircumcision analgesia? J Anesth 2005; 19:36-9. doi: 10.1007/s00540.004.0287-8.
  • [12] Munevveroglu C, Gunduz M. Postoperative pain management for circumcision; Comparison of frequently used methods. Pak J Med Sci 2020;36:91-95. doi:10.12669/pjms.36.2.505
  • [13] Wolf AR, Valley RD, Fear DW, Roy WL, Lerman J. Bupivacaine for caudal analgesia in infants and children: the optimal effective concentration. Anesthesiology 1988; 69: 102-6. doi: 10.1097/00000.542.198807000-00017.
  • [14] Tree-Trakarn T, Pirayavaraporn S. Post-operative pain relief for circumcision in children: comparison among morphine, nerve block and topical analgesia. Anesthesiology 1985; 62:519-22. doi: 10.1097/00000.542.198504000-00027.
  • [15] Beyaz SG. Comparison of postoperative analgesic efficacy of caudal block versus dorsal penile nerve block with levobupivacaine for circumcision in children. Korean J Pain 2011; 24:31-5. doi: 10.3344/kjp.2011.24.1.31.
  • [16] Sara CA, Lowry CJ. A complication of circumcision and dorsal nerve block of the penis. Anaesth Intensive Care. 1985; 13:79- 85. doi: 10.1177/0310057X850.130.0111.
  • [17] Burke D, Joypaul V, Thomson MF. Circumcision supplemented by dorsal penile nerve block with 0.75% ropivacaine: a complication. Reg Anesth Pain Med 2000; 25:424-27. doi: 10.1053/rapm.2000.7594.
  • [18] Margetts L, Carr A, McFadyen G, Lambert A. A comparison of caudal bupivacaine and ketamine with penile block for paediatric circumcision. Eur J Anaesthesiol 2008; 25: 1009-13. doi: 10.1017/S026.502.1508004833.
  • [19] Choi WY, Irwin MG, Hui TWC, Lim HH, Chan KL. EMLA cream versus dorsal penile nerve block for postcircumcision analgesia in children. Anesth Analg 2003; 96: 396-99. doi: 10.1097/00000.539.200302000-00018.

Topical and systemic analgesia versus caudal epidural and dorsal penile nerve block in relieving pain after pediatric circumcision

Year 2021, Volume: 34 Issue: 3, 292 - 297, 27.10.2021

Ayse Karatas E. Zeynep Etı Tumay Umuroglu Seniyye Ulgen Zengın F. Yilmaz Gogus

https://doi.org/10.5472/marumj.1013317

Abstract

Objective: There is no consensus on the use of optimal analgesic method after pediatric circumcision, although, caudal block (CB),
dorsal penile nerve block (DPNB), topical local anesthetic application and systemic analgesic administration are frequently used
methods. In this study, we aimed to compare the postoperative analgesic effects and side effects, as well as parental satisfaction
concerning these methods.
Patients and Methods: Eighty children, aged 3-12 years, undergoing circumcision were randomized into four groups (n=20). Group
Caudal Anesthesia (CA), Group Dorsal Penile Blok (DP), Group Topical Analgesia (TA), Group Systemic Analgesics (SA). The
severity of pain was measured with NRS or CHEOPS scores. Time to awakening, first analgesic requirement, hospital discharge, side
effects and parental satisfaction were recorded.
Results: In groups CA and DP, pain scores during the first postoperative hour were lower than the pain scores of other groups and in
group CA, the first analgesic requirement time was significantly longer compared to other groups (p<0.05). In the early postoperative
hour, parental satisfaction was higher in group CA compared to other groups.
Conclusion: In the early postoperative period, CB and DPNB reduce pain more effectively and provide more parental satisfaction
than other applications, (in children who underwent) circumcision.
Keywords: Circumcision, Pain, Postoperative, Dorsal penile nerve block Caudal epidural block, EMLA

Keywords

Circumcision Pain Postoperative Dorsal penile nerve block Caudal epidural block EMLA

References

  • [1] Lonnqvist PA, Morton NS. Paediatric day-case anaesthesia and pain control. Curr Opin Anaesthesiol 2006; 19:617-21. doi: 10.1097/ACO.0b013e3280101dab.
  • [2] Howard R, Carter B, Curry J, et al. Postoperative pain. Paediatr Anaesth 2008; 18:36-63. doi: 10.1111/j.1460- 9592.2008.02431.x.
  • [3] Paix BR, Peterson SE. Circumcision of neonates and children without appropriate anaesthesia is unacceptable practice. Anaesth Intensive Care 2012; 40:511-6. doi: 10.1177/0310057X120.400.0318.
  • [4] Cyna AM, Middleton P. Caudal epidural block versus other methods of postoperative pain relief for circumcision in boys. Cochrane Database of Syst Rev 2008;4: Art No:CD003005. doi: 10.1002/14651858.CD003005.pub2
  • [5] Naja Z, Al-Tannir MA, Faysal W, Daoud N, Ziade F, El-Rajab M. A comparison of pudendal block vs dorsal penile nerve block for circumcision in children: a randomised controlled trial. Anaesthesia 2011; 66:802-7. doi: 10.1111/j.1365- 2044.2011.06753.x
  • [6] Taddio A, Ohlsson A, Einarson TR, Stevens B, Koren G. A systematic review of lidocaine-prilocaine cream (EMLA) in the treatment of acute pain in neonates. Pediatrics 1998; 101:1-9. doi: 10.1542/peds.101.2.e1
  • [7] Linder SL, Winner P. Pediatric headache. Med Clin North Am. 2001;85:1037-53. doi:10.1016/s0025-7125(05)70358-8
  • [8] McGowan PR, May H, Molnar Z, Cunliffe M. A comparison of three methods of analgesia in children having day case circumcision. Paediatr Anaesth 1998; 8: 403-7. doi: 10.1046/j.1460-9592.1998.00270.x
  • [9] Lönnqvist PA, Morton NS. Postoperative analgesia in infants and children. Br J Anaesth 2005; 95:59-68. doi: 10.1093/bja/ aei065
  • [10] Jöhr M, Berger TM. Caudal blocks. Paediatr Anaesth 2012; 22:44-50. doi: 10.1111/j.1460-9592.2011.03669.x.
  • [11] Weksler N, Atias I, Klein M, Rosenztsveig V, Ovadia L, Gurman GM. Is penile block better than caudal epidural block for postcircumcision analgesia? J Anesth 2005; 19:36-9. doi: 10.1007/s00540.004.0287-8.
  • [12] Munevveroglu C, Gunduz M. Postoperative pain management for circumcision; Comparison of frequently used methods. Pak J Med Sci 2020;36:91-95. doi:10.12669/pjms.36.2.505
  • [13] Wolf AR, Valley RD, Fear DW, Roy WL, Lerman J. Bupivacaine for caudal analgesia in infants and children: the optimal effective concentration. Anesthesiology 1988; 69: 102-6. doi: 10.1097/00000.542.198807000-00017.
  • [14] Tree-Trakarn T, Pirayavaraporn S. Post-operative pain relief for circumcision in children: comparison among morphine, nerve block and topical analgesia. Anesthesiology 1985; 62:519-22. doi: 10.1097/00000.542.198504000-00027.
  • [15] Beyaz SG. Comparison of postoperative analgesic efficacy of caudal block versus dorsal penile nerve block with levobupivacaine for circumcision in children. Korean J Pain 2011; 24:31-5. doi: 10.3344/kjp.2011.24.1.31.
  • [16] Sara CA, Lowry CJ. A complication of circumcision and dorsal nerve block of the penis. Anaesth Intensive Care. 1985; 13:79- 85. doi: 10.1177/0310057X850.130.0111.
  • [17] Burke D, Joypaul V, Thomson MF. Circumcision supplemented by dorsal penile nerve block with 0.75% ropivacaine: a complication. Reg Anesth Pain Med 2000; 25:424-27. doi: 10.1053/rapm.2000.7594.
  • [18] Margetts L, Carr A, McFadyen G, Lambert A. A comparison of caudal bupivacaine and ketamine with penile block for paediatric circumcision. Eur J Anaesthesiol 2008; 25: 1009-13. doi: 10.1017/S026.502.1508004833.
  • [19] Choi WY, Irwin MG, Hui TWC, Lim HH, Chan KL. EMLA cream versus dorsal penile nerve block for postcircumcision analgesia in children. Anesth Analg 2003; 96: 396-99. doi: 10.1097/00000.539.200302000-00018.
There are 19 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Original Articles
Authors

Ayse Karatas This is me

E. Zeynep Etı This is me

Tumay Umuroglu This is me

Seniyye Ulgen Zengın This is me

F. Yilmaz Gogus This is me

Publication Date October 27, 2021
Published in Issue Year 2021 Volume: 34 Issue: 3

Cite

APA Karatas, A., Etı, E. Z., Umuroglu, T., Zengın, S. U., et al. (2021). Topical and systemic analgesia versus caudal epidural and dorsal penile nerve block in relieving pain after pediatric circumcision. Marmara Medical Journal, 34(3), 292-297. https://doi.org/10.5472/marumj.1013317
AMA Karatas A, Etı EZ, Umuroglu T, Zengın SU, Gogus FY. Topical and systemic analgesia versus caudal epidural and dorsal penile nerve block in relieving pain after pediatric circumcision. Marmara Med J. October 2021;34(3):292-297. doi:10.5472/marumj.1013317
Chicago Karatas, Ayse, E. Zeynep Etı, Tumay Umuroglu, Seniyye Ulgen Zengın, and F. Yilmaz Gogus. “Topical and Systemic Analgesia Versus Caudal Epidural and Dorsal Penile Nerve Block in Relieving Pain After Pediatric Circumcision”. Marmara Medical Journal 34, no. 3 (October 2021): 292-97. https://doi.org/10.5472/marumj.1013317.
EndNote Karatas A, Etı EZ, Umuroglu T, Zengın SU, Gogus FY (October 1, 2021) Topical and systemic analgesia versus caudal epidural and dorsal penile nerve block in relieving pain after pediatric circumcision. Marmara Medical Journal 34 3 292–297.
IEEE A. Karatas, E. Z. Etı, T. Umuroglu, S. U. Zengın, and F. Y. Gogus, “Topical and systemic analgesia versus caudal epidural and dorsal penile nerve block in relieving pain after pediatric circumcision”, Marmara Med J, vol. 34, no. 3, pp. 292–297, 2021, doi: 10.5472/marumj.1013317.
ISNAD Karatas, Ayse et al. “Topical and Systemic Analgesia Versus Caudal Epidural and Dorsal Penile Nerve Block in Relieving Pain After Pediatric Circumcision”. Marmara Medical Journal 34/3 (October 2021), 292-297. https://doi.org/10.5472/marumj.1013317.
JAMA Karatas A, Etı EZ, Umuroglu T, Zengın SU, Gogus FY. Topical and systemic analgesia versus caudal epidural and dorsal penile nerve block in relieving pain after pediatric circumcision. Marmara Med J. 2021;34:292–297.
MLA Karatas, Ayse et al. “Topical and Systemic Analgesia Versus Caudal Epidural and Dorsal Penile Nerve Block in Relieving Pain After Pediatric Circumcision”. Marmara Medical Journal, vol. 34, no. 3, 2021, pp. 292-7, doi:10.5472/marumj.1013317.
Vancouver Karatas A, Etı EZ, Umuroglu T, Zengın SU, Gogus FY. Topical and systemic analgesia versus caudal epidural and dorsal penile nerve block in relieving pain after pediatric circumcision. Marmara Med J. 2021;34(3):292-7.
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