Comparison of Intraoperative and Early Postoperative Outcomes of Caudal vs Dorsal Penile Nerve Blocks for Outpatient Penile Surgeries
| Autor: | Elizabeth A. S. Moser, Martin Kaefer, Konrad M. Szymanski, Richard C. Rink, Rosalia Misseri, Katherine H. Chan, Aali Shah, Mark P. Cain, Benjamin Whittam |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
biology business.industry Urology medicine.medical_treatment Pudendal nerve Retrospective cohort study Ambulatory Surgical Procedure biology.organism_classification Confidence interval Pacu Surgery 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology Anesthesia Nerve block medicine 030212 general & internal medicine Intraoperative Period business Cohort study |
| Zdroj: | Urology. 118:164-171 |
| ISSN: | 0090-4295 |
| Popis: | Objective To compare intraoperative and 1-hour postoperative outcomes in caudal vs dorsal penile nerve block (DPNB) patients undergoing penile surgeries. Materials and Methods We performed a retrospective cohort study of boys 3. Secondary outcomes were intraoperative-postanesthesia care unit (PACU) narcotics, preincision anesthesia time, adjusted operating room charges, and complications. We performed bivariate and multivariable analyses controlling for demographic and procedural characteristics and clustering by surgeon. Results Of 738 patients (mean age 2.1 years), 74.1% had a caudal block. DPNB patients were more likely to have a maximum pain score of >3 (19.5% vs 8.1%, P 3 (95% confidence interval 1.7-4.4, P Conclusion Caudal blocks may offer a small advantage in the immediate postoperative period, although cost-effectiveness is unproven. |
| Databáze: | OpenAIRE |
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