scholarly journals Our Experiences of Pre-emptive Analgesia in Pediatric Penile Surgery: A Retrospective Comparison of the Analgesic Effects of Caudal Block and Dorsal Penile Block

2019 ◽  
pp. 813-820
Author(s):  
Fikret Salık ◽  
Hakan Akelma
Keyword(s):  
Caudal Block ◽  
Analgesic Effects ◽  
Retrospective Comparison ◽  
Penile Block

Caudal versus Penile Block

2018 ◽  
Author(s):  
Cheryl Maenpaa ◽  
Michele Hendrickson ◽  
Kenneth R. Goldschneider
Keyword(s):  
Caudal Block ◽  
Regional Analgesia ◽  
Nerve Blocks ◽  
Operator Experience ◽  
Decision Points ◽  
Penile Block

Circumcision is a commonly performed operation. Regional analgesia is provided either by penile block or caudal block. Each approach to anesthetizing the penis has attendant risk and benefits. The provider has several decision points to observe when choosing which, if either, technique to apply. The basic anatomic factors (including the identification and significance of sacral dimples), technical steps, risks, and considerations of each are discussed. Overall, each block offers benefit to the patient, and choosing between them can be based on need for ambulation postoperatively, operator experience, and availability of appropriate equipment. When available, ultrasound can enhance the efficacy of penile nerve blocks.

scholarly journals Comparison of Postoperative Analgesic Efficacy of Penile Block, Caudal Block and Intravenous Paracetamol for Circumcision: A prospective Randomized Study

2013 ◽  
Vol 39 (4) ◽  
pp. 551-557 ◽  
Author(s):  
Ahmet Hakan Haliloglu ◽  
Mehmet Ilker Gokce ◽  
Semih Tangal ◽  
Mehmet Salih Boga ◽  
Hakan Tapar ◽  
...  
Keyword(s):  
Randomized Study ◽  
Analgesic Efficacy ◽  
Prospective Randomized Study ◽  
Caudal Block ◽  
Intravenous Paracetamol ◽  
Penile Block

scholarly journals Caudal block versus penile block for postoperative analgesia in children undergoing hypospadias repair

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
H G Salama ◽  
M H Elsersi ◽  
T S Shabana ◽  
J M Mahanna
Keyword(s):  
Postoperative Analgesia ◽  
Pediatric Patients ◽  
Pediatric Population ◽  
Randomized Study ◽  
Hypospadias Repair ◽  
Caudal Block ◽  
Analgesic Requirement ◽  
Analgesic Regimen ◽  
Significant Difference ◽  
Penile Block

Abstract Background Hypospadias repair is one of the most frequently performed surgical procedures in the pediatric population. Using optimal analgesic regimen provides safe and effective analgesia, reduce postoperative stress response and accelerate recovery from surgery. Aim of the Work The aim of this work is to evaluate the success rate and the effectiveness of penile block for hypospadias repair in pediatric patients in comparison with caudal block. Patients and Methods This prospective randomized study was conducted in Ain Shams University Hospitals; Pediatric Surgery Unit. It included 80 ASA I or II patients undergoing hypospadias (distal penile and mid penile) repair. They were divided into two groups: Group P: Group P penile block (n = 40) received dorsal penile nerve block by using the subpubic approach technique. Group C: Group C caudal block (n = 40) received caudal epidural block using a 22-G needle in the lateral decubitus position. Results There was no statistically significant difference between two groups regarding haemodynamics including MBP (P < 0.05) and HR (P < 0.05). FLACC pain scores were significantly lower in group C compared with group P (P< 0.01). Also, the time to first need for analgesia was significantly lower in group C compared with group P (P< 0.001) .The total rescue analgesic requirement was also significantly lower (P< 0.001) in group C compared with group P.Postoperative time of ambulation was also significantly lower (P< 0.05) in group P compared with group C. Conclusion the current study revealed that caudal block provided significantly prolonged postoperative analgesia, reduced the postoperative analgesic requirements and prolonged time of ambulation as compared with penile block in pediatric patients undergoing hypospadias repair.

scholarly journals Caudal block versus Penile block for postoperative ‎analgesia in children undergoing hypospadias repair

2020 ◽  
Vol 0 (0) ◽  
pp. 0-0 ◽  
Author(s):  
Mohamed Al-Metwally ◽  
Ezzat Al-Saudi ◽  
Ahmed Abo El Ata ◽  
Medhat Allam
Keyword(s):  
Postoperative Analgesia ◽  
Hypospadias Repair ◽  
Caudal Block ◽  
Penile Block

scholarly journals Comparative Study of Caudal Bupivacaine and Bupivacaine with Clonidine in Infra Umbilical Surgeries in Children

2020 ◽  
Vol 5 (1) ◽  
pp. 23-29
Author(s):  
Swetha J Gouda ◽  
P.V. Margi
Keyword(s):  
Side Effects ◽  
Single Shot ◽  
Age Group ◽  
Efficacy And Safety ◽  
Caudal Block ◽  
Hemodynamic Changes ◽  
Analgesic Effects ◽  
Group A ◽  
The Mean ◽  
Group B

Background: Caudal epidural analgesia is one of the most commonly performed regional blocks in paediatric anaesthesia for intra and post-operative analgesia. Addition of opioids like morphine, fentanyl is associated with side effects like respiratory depression, urinary retention, etc. Clonidine, an α2 agonist is known for its analgesic effects with lesser side effects. Hence, this study was conducted to know the efficacy and safety of addition of clonidine to bupivacaine in a single shot caudal block in children.Subjects and Methods:This study was conducted among 60 children in the age group of 5 – 10 years coming for various elective infraumbilical surgical procedures. They were divided into two groups of 30 each. Group A received caudal 0.25% bupivacaine (1ml/kg) and group B received caudal 0.25% bupivacaine (1ml/kg) with clonidine (1.5µg/kg). The various parameters studied were hemodynamic changes, duration of analgesia and incidence of side effects.Results:The groups were similar in age, sex and weight. The hemodynamic parameters like heart rate, blood pressure, respiratory rate were also similar between the two groups after administering caudal block. The mean duration of analgesia in group B (433.5 ± 60 min) was significantly longer (p< 0.05) than group A (250.33 ±41 min). Conclusion:This study showed that the addition of clonidine in the dose of 1.5µg/kg to 0.25% bupivacaine (1ml/kg) improved the analgesic duration and efficacy after a single shot caudal block with minimal side effects in children.

scholarly journals Comparison of Caudal Block vs. Penile Block in Terms of Surgical Incision Response for Circumcision and Postoperative Analgesia Requirements

2019 ◽  
pp. 1-5
Author(s):  
Mohammad Asim Bajwa ◽  
Aziz-Ur- Rahman ◽  
Amir Majeed ◽  
Muhammad Imran Azeem
Keyword(s):  
Heart Rate ◽  
Pain Relief ◽  
Recovery Period ◽  
Caudal Block ◽  
Nerve Blocks ◽  
Surgical Incision ◽  
Group A ◽  
Group B ◽  
Penile Block ◽  
Better Than

Circumcision is a frequently performed surgery in children worldwide. For circumcision, penile and caudal epidural blocks are commonly used. Nerve blocks not only decrease the systemic analgesia requirements intra-operatively but also increase the length of pain relief postoperatively. The aim of the present study was to compare the surgical incision response in circumcision, in children with a caudal block and penile block. We also compared the systemic analgesic requirements postoperatively in both groups. Materials and Methods: The study was conducted in pediatric patients. Total of 30 samples (n = 30) was taken and divided into two groups of 15 each. The group A received caudal block and group B received penile block. The blocks were performed after general anesthesia. We tried our best to eliminate all the factors which can lead to tachycardia (such as hypoxia, light plane of anesthesia, hyperthermia and hypothermia, hypercarbia, hypovolemia etc). The patients were keenly observed for change in heart rate on incision, the heart rates were recorded before and at incision (surgical incision response) in both groups. The postoperative consumption of the pain killers were also noted in both the groups. Results: We observed that the patients in group A with caudal block did not show any significant surgical response, whereas in group B patients with penile block showed increased heart rate at the incision. There was no complain of pain in group A in the recovery period. Whereas complains of pain were recorded in most of the children in group B, hence pain killers were given to the patients in this group. Conclusion: Our data proved that the caudal block was better than the penile block in terms of pain relief.

Sign in / Sign up

Export Citation Format

Share Document