Topical and systemic analgesia versus caudal epidural and dorsal penile nerve block in relieving pain after pediatric circumcision
| Autor: | Fevzi Yilmaz Gogus, Ayşe Karataş, Emine Eti, Seniyye Ulgen Zengin, Tumay Umuroglu |
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| Přispěvatelé: | Karatas, Ayse, Eti, E. Zeynep, Umuroglu, Tumay, Zengin, Seniyye Ulgen, Gogus, F. Yilmaz |
| Rok vydání: | 2021 |
| Předmět: |
Circumcision
Pain Postoperative Dorsal penile nerve block Caudal epidural block EMLA Dorsum ANESTHESIA business.industry medicine.medical_treatment Pain INFANTS CHILDREN Tıp Dorsal penile nerve block Caudal epidural block Circumcision EMLA Anesthesia Nerve block Medicine Caudal epidural Postoperative BUPIVACAINE business |
| Zdroj: | Volume: 34, Issue: 3 292-297 Marmara Medical Journal |
| ISSN: | 1019-1941 1309-9469 |
| Popis: | 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 usedmethods. In this study, we aimed to compare the postoperative analgesic effects and side effects, as well as parental satisfactionconcerning these methods.Patients and Methods: Eighty children, aged 3-12 years, undergoing circumcision were randomized into four groups (n=20). GroupCaudal Anesthesia (CA), Group Dorsal Penile Blok (DP), Group Topical Analgesia (TA), Group Systemic Analgesics (SA). Theseverity of pain was measured with NRS or CHEOPS scores. Time to awakening, first analgesic requirement, hospital discharge, sideeffects 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 ingroup CA, the first analgesic requirement time was significantly longer compared to other groups (p |
| Databáze: | OpenAIRE |
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