Comparison of postoperative analgesic efficacy of caudal block versus dorsal penile nerve block with bupivacaine for circumcision in children

Background: Circumcision is a frequently performed surgery in pediatric patient. Objective: Our aim is to compare postoperative analgesia of caudal block versus dorsal penile nerve block (DPNB) and to compare sedation score and complication associated with caudal block and DPNB in children undergo...

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Main Authors:	Shweta Patel, Sheetal Shah, Hiren Parmar
Format:	Article
Language:	English
Published:	Universiti Kebangsaan Malaysia 2015
Online Access:	http://journalarticle.ukm.my/8774/ http://journalarticle.ukm.my/8774/ http://journalarticle.ukm.my/8774/1/P.233-236.pdf

id	ukm-8774
recordtype	eprints
spelling	ukm-87742016-12-14T06:48:07Z http://journalarticle.ukm.my/8774/ Comparison of postoperative analgesic efficacy of caudal block versus dorsal penile nerve block with bupivacaine for circumcision in children Shweta Patel, Sheetal Shah, Hiren Parmar, Background: Circumcision is a frequently performed surgery in pediatric patient. Objective: Our aim is to compare postoperative analgesia of caudal block versus dorsal penile nerve block (DPNB) and to compare sedation score and complication associated with caudal block and DPNB in children undergoing circumcision. Materials and Methods: This prospective randomized study was performed for more than 50 patients of ASA grade I, aged 3–12 years, scheduled for elective circumcision. Patients were divided into two groups: DPNB for group I and caudal block for group II, using 0.25% 1 mL/kg (2 mg/kg) bupivacaine. Postoperative analgesia was evaluated for 6 hours with the FLACC Pain Scale for five categories: (F) face, (L) legs, (A) activity, (C) cry, and (C) consolability. Sedation was evaluated with Ramsey sedation score. For every child, supplementary analgesic amount and times and probable local or systemic complications were recorded. Results: No significant difference between both the groups was found in mean age, body weight, and surgery duration and sedation scores. Initially, for 2 hours, FLACC pain score was also insignificant; however, on subsequent measurements, a significant difference of FLACC pain score was noted in both the groups. No major complication was found when using either technique. Conclusion: Duration of postoperative analgesia is more in caudal group than that of DPNB. Supplementary analgesic need is also minimized. Universiti Kebangsaan Malaysia 2015-06-17 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/8774/1/P.233-236.pdf Shweta Patel, and Sheetal Shah, and Hiren Parmar, (2015) Comparison of postoperative analgesic efficacy of caudal block versus dorsal penile nerve block with bupivacaine for circumcision in children. International Journal of Public Health Research, 4 (2). pp. 233-236. ISSN 2232-0245 www.ijphr.ukm.my
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Kebangasaan Malaysia
building	UKM Institutional Repository
collection	Online Access
language	English
description	Background: Circumcision is a frequently performed surgery in pediatric patient. Objective: Our aim is to compare postoperative analgesia of caudal block versus dorsal penile nerve block (DPNB) and to compare sedation score and complication associated with caudal block and DPNB in children undergoing circumcision. Materials and Methods: This prospective randomized study was performed for more than 50 patients of ASA grade I, aged 3–12 years, scheduled for elective circumcision. Patients were divided into two groups: DPNB for group I and caudal block for group II, using 0.25% 1 mL/kg (2 mg/kg) bupivacaine. Postoperative analgesia was evaluated for 6 hours with the FLACC Pain Scale for five categories: (F) face, (L) legs, (A) activity, (C) cry, and (C) consolability. Sedation was evaluated with Ramsey sedation score. For every child, supplementary analgesic amount and times and probable local or systemic complications were recorded. Results: No significant difference between both the groups was found in mean age, body weight, and surgery duration and sedation scores. Initially, for 2 hours, FLACC pain score was also insignificant; however, on subsequent measurements, a significant difference of FLACC pain score was noted in both the groups. No major complication was found when using either technique. Conclusion: Duration of postoperative analgesia is more in caudal group than that of DPNB. Supplementary analgesic need is also minimized.
format	Article
author	Shweta Patel, Sheetal Shah, Hiren Parmar,
spellingShingle	Shweta Patel, Sheetal Shah, Hiren Parmar, Comparison of postoperative analgesic efficacy of caudal block versus dorsal penile nerve block with bupivacaine for circumcision in children
author_facet	Shweta Patel, Sheetal Shah, Hiren Parmar,
author_sort	Shweta Patel,
title	Comparison of postoperative analgesic efficacy of caudal block versus dorsal penile nerve block with bupivacaine for circumcision in children
title_short	Comparison of postoperative analgesic efficacy of caudal block versus dorsal penile nerve block with bupivacaine for circumcision in children
title_full	Comparison of postoperative analgesic efficacy of caudal block versus dorsal penile nerve block with bupivacaine for circumcision in children
title_fullStr	Comparison of postoperative analgesic efficacy of caudal block versus dorsal penile nerve block with bupivacaine for circumcision in children
title_full_unstemmed	Comparison of postoperative analgesic efficacy of caudal block versus dorsal penile nerve block with bupivacaine for circumcision in children
title_sort	comparison of postoperative analgesic efficacy of caudal block versus dorsal penile nerve block with bupivacaine for circumcision in children
publisher	Universiti Kebangsaan Malaysia
publishDate	2015
url	http://journalarticle.ukm.my/8774/ http://journalarticle.ukm.my/8774/ http://journalarticle.ukm.my/8774/1/P.233-236.pdf
first_indexed	2023-09-18T19:53:10Z
last_indexed	2023-09-18T19:53:10Z
_version_	1777406355217317888

Comparison of postoperative analgesic efficacy of caudal block versus dorsal penile nerve block with bupivacaine for circumcision in children

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