Caudal and Penile Blocks Demonstrate Similar Reliability and Efficacy in Pediatric Patients Undergoing Circumcision: A Meta-Analysis
نویسندگان
چکیده
Purpose: Circumcision is one of the most common surgeries performed in the pediatric population. Multiple regional analgesic techniques, including caudal (CB) and penile block (PB), have championed as offering optimal analgesia for circumcision in the post-neonatal pediatric population without clear consensus. This meta-analysis sought to investigate CB and PB’s analgesic efficacy and the impact on postoperative analgesic requirements in pediatric circumcisions. Methods: A comprehensive literature search of PubMed, Google Scholar, and Cochrane Library (1966-2016) was completed to identify all published randomized control trials (RCTs).
منابع مشابه
Comparison of Postoperative Analgesic Efficacy of Caudal Block versus Dorsal Penile Nerve Block with Levobupivacaine for Circumcision in Children
BACKGROUND Circumcision is a painful intervention frequently performed in pediatric surgery. We aim to compare the efficacy of caudal block versus dorsal penile block (DPNB) under general anesthesia for children undergoing circumcision. METHODS This study was performed between July 1, 2009 and October 16, 2009. Fifty male children American Society of Anesthesiolgists physical status classific...
متن کاملCan regional anesthesia have an effect on surgical outcomes in patients undergoing distal hypospadia surgery?
BACKGROUND Caudal and penile blocks are the most popular regional anesthetic techniques used in infants and children undergoing urological surgery. A recent report has suggested that penile venous pooling resulting from caudal blocks could affect surgical outcomes after hypospadias operations. OBJECTIVE The aim was to report our experience in patients with distal hypospadias undergoing repair...
متن کاملComparison of postoperative analgesic efficacy of penile block, caudal block and intravenous paracetamol for circumcision: a prospective randomized study.
PURPOSE To evaluate the postoperative analgesic efficacy of penile block, caudal block and intravenous paracetamol administration following circumcision. MATERIALS AND METHODS In this prospective randomized study a total of 159 patients underwent circumcision under general anesthesia at urology clinic of Ufuk University Faculty of Medicine and Sorgun State Hospital between May 2012 and Septem...
متن کاملLevobupivacaine for postoperative pain management in circumcision: caudal blocks or dorsal penile nerve block Sünnetlerde postoperatif ağrı kontrolünde levobupivakain; kaudal blok veya dorsal penil sinir bloğu
Özet Amaç: Bu çalışmada sünnet sonrası pediatrik hastalarda kaudal ve dorsal penil sinir bloğunda (DPSB) levobupivakainin analjezik etkinliği ve yan etki profili değerlendirildi. Gereç ve Yöntem: 2-10 yaşları arasında sünnet planlanan 60 çocuk çalışmaya alındı. Hastalar iki gruba ayrıldı; Grup K’daki (n=30) hastalara kaudal blok, Grup P’deki (n=30) hastalara ise DPSB uygulandı. Bloklar cerrahi ...
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Background & Objective: Caudal block with local anesthetic agents has been extensively used in pediatric patients to provide intra and postoperative analgesia for surgical procedures such as herniorrhaphy or orchidopexy. Various additives to local anesthetic solutions have been used to prolong and enhance analgesia after caudal block. The aim of this study was to evaluate effectiveness of bupiv...
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