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

Authors : Ayse KARATAS, E Zeynep ETI, Tumay UMUROGLU, Seniyye Ulgen ZENGIN, F Yilmaz GOGUS

Pages : 292-297

Doi:10.5472/marumj.1013317

View : 20 | Download : 8

Publication Date : 2021-10-27

Article Type : Research Paper

Abstract :Objective: There is no consensus on the use of optimal analgesic method after pediatric circumcision, although, caudal block insert ignore into journalissuearticles values(CB);, dorsal penile nerve block insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values(n=20);. Group Caudal Anesthesia insert ignore into journalissuearticles values(CA);, Group Dorsal Penile Blok insert ignore into journalissuearticles values(DP);, Group Topical Analgesia insert ignore into journalissuearticles values(TA);, Group Systemic Analgesics insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values(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, insert ignore into journalissuearticles values(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