The Korean Journal of Pain

  • 제24권1호
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  • Pages.31-35
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  • 2011
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  • 2005-9159(pISSN)
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  • 2093-0569(eISSN)
대한통증학회 (The Korean Pain Society)
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Comparison of Postoperative Analgesic Efficacy of Caudal Block versus Dorsal Penile Nerve Block with Levobupivacaine for Circumcision in Children

  • 투고 : 2010.12.01
  • 심사 : 2011.01.27
  • 발행 : 2011.03.01
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초록

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 classification I, aged between 3 and 12 were included in this randomized, prospective, comparative study. Anesthetic techniques were standardized for all children. Patients were randomized into 2 groups. Using 0.25% 0.5 ml/kg levobupivacain, we performed DPNB for Group 1 and caudal block for Group 2. Postoperative analgesia was evaluated for six hours with the Flacc Pain Scale for five categories; (F) Face, (L) Legs, (A) Activity, (C) Cry, and (C) Consolability. For every child, supplemental analgesic amounts, times, and probable local or systemic complications were recorded. Results: No significant difference between the groups (P > 0.05) was found in mean age, body weight, anesthesia duration, FLACC pain, and sedation scores (P > 0.05). However, on subsequent measurements, a significant decrease of pain and sedation scores was noted in both the DPNB group and the caudal block group (P < 0.001). No major complication was found when using either technique. Conclusions: DPNB and caudal block provided similar postoperative analgesic effects without major complications for children under general anesthesia.

키워드

참고문헌

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피인용 문헌

  1. Comparison of Postoperative Analgesic Efficacy of Penile Block, Caudal Block and Intravenous Paracetamol for Circumcision: A prospective Randomized Study vol.39, pp.4, 2013, https://doi.org/10.1590/S1677-5538.IBJU.2013.04.13
  2. Morphologic Diversities of Sacral Canal in Children; Three-Dimensional Computed Tomographic Study vol.27, pp.3, 2014, https://doi.org/10.3344/kjp.2014.27.3.253
  3. Predictive Factors of Postoperative Pain and Postoperative Anxiety in Children Undergoing Elective Circumcision: A Prospective Cohort Study vol.28, pp.4, 2015, https://doi.org/10.3344/kjp.2015.28.4.244
  4. Caudal and Penile Blocks Demonstrate Similar Reliability and Efficacy in Pediatric Patients Undergoing Circumcision: A Meta-Analysis vol.07, pp.05, 2016, https://doi.org/10.4236/ijcm.2016.75033
  5. Do caudal blocks cause complications following hypospadias surgery in children? vol.71, pp.7, 2016, https://doi.org/10.1111/anae.13490
  6. Dorsal penile nerve block for circumcision in pediatric patients: A prospective, observer-blinded, randomized controlled clinical trial for the comparison of ultrasound-guided vs landmark technique vol.28, pp.8, 2018, https://doi.org/10.1111/pan.13429
  7. Ring block with levobupivacaine 0.25% and paracetamol vs. paracetamol alone in children submitted to three different surgical techniques of circumcision: A prospective randomized study vol.8, pp.1, 2011, https://doi.org/10.4103/1658-354x.125936
  8. Comparison of caudal tramadol versus caudal fentanyl with bupivacaine for prolongation of postoperative analgesia in pediatric patients vol.10, pp.2, 2011, https://doi.org/10.4103/1658-354x.168807
  9. A comparison of the postoperative analgesic effectiveness of low dose caudal epidural block and US-guided dorsal penile nerve block with in-plane technique in circumcision vol.16, pp.1, 2011, https://doi.org/10.1016/j.jpurol.2019.10.020