Caudal Block Versus Dorsal Penile Nerve Block Plus Ring Block for Pain Management of Different Surgical Techniques of Circumcision in Infants and Children

Launched by KING SAUD UNIVERSITY · Jan 31, 2022

Keywords

ClinConnect Summary

Circumcision is one of the most commonly performed operations in the paediatric population and is a painful procedure. Circumcision is performed with two popular techniques, Plastibell and conventional dissection method. Two anesthetic techniques are commonly used for intra-operative (OP) and post-OP pain relief i.e CB and DPNB+RB at the base of the penis. Addition of dexmedetomidine to bupivacaine prolongs duration of analgesia of CB. Both anaesthesia techniques of pain relief have certain advantages and disadvantages and the superiority of any technique over the other has not been establi...

Gender

MALE

Eligibility criteria

• Inclusion Criteria:
• • 1. Healthy,
• • 2. Male,
• • 3. Ages 3 months to 4 years,
• • 4. Scheduled for circumcision for various indications under GA.
• Exclusion Criteria:
• • 1. Patients with bleeding or clotting disorders
• • 2. Patients with hypospadias, other penile or sacral anomalies
• • 3. Patients weight \<3kg.
• • 4. Allergy to Local Anesthetic
• • 5. Infection at the site of block
• • 6. Pre-existing spinal or neurological disease
• • 7. Pain medication within the previous 48 hours