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

Fikret Salık; Hakan Akelma

doi:10.5798/dicletip.661399

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

Abstract

Objective: Postoperative analgesia control is very important in circumcision patients, so preemptive analgesia methods are widely used for this purpose. The aim of this study was to compare patients undergoing circumcision applied with the most commonly used preemptive analgesia methods of caudal block or dorsal penile block, between January 2016 and September 2017 in our hospital. Methods: This retrospective study included 483 cases who underwent a circumcision operation at Ermenek State Hospital between January 2016 and September 2017 and were administered caudal block or dorsal penile block as preemptive analgesia. The anesthesia follow-up forms and nurse observation forms of the patients were examined and a record was made of demographic data, duration of surgery, duration of anesthesia, intraoperative and postoperative analgesic requirements and complications. From the clinics observation records of the patients, the time of first analgesic drug requirement and VAS scores were recorded. Results: Demographic data and hemodynamic data were similar in both groups. When the two groups were compared, in the caudal group, the duration of postoperative analgesia was longer, fewer patients required additional analgesia in the first 6-hour period, and the VAS scores were lower (p <0.05). In both groups, the number of failed blocks and complication rates were similar (p> 0.05). Conclusion: It is easy and safe to administer caudal block or dorsal penile block with bupivacaine for preventive analgesia in children undergoing circumcision. However, caudal block is more effective in providing postoperative analgesia.

Keywords

Caudal block,dorsal penile block

References

1. Morrison K, Herbst K, Corbett S, et al. Pain Management Practice Patterns for Common Pediatric Urology Procedures. Urology 2014; 83: 206-10. 2. Ödeş R, Erhan ÖL, Demirci M, et al. Effects of ketamine added to ropivacaine in pediatric caudal block. Ağrı 2010; 22: 53-60.

Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Fikret Salık This is me
0000-0002-7715-3545
Türkiye

Hakan Akelma
0000-0002-0387-8738
Türkiye

Publication Date

December 15, 2019

Submission Date

September 19, 2019

Acceptance Date

November 6, 2019

Published in Issue

Year 2019 Volume: 46 Number: 4

DOI

https://doi.org/10.5798/dicletip.661399

IZ

https://izlik.org/JA39LU86YF

Cite

RIS / Bibtex

APA

Salık, F., & Akelma, H. (2019). Our Experiences of Pre-emptive Analgesia in Pediatric Penile Surgery: A Retrospective Comparison of the Analgesic Effects of Caudal Block and Dorsal Penile Block. Dicle Medical Journal, 46(4), 813-820. https://doi.org/10.5798/dicletip.661399

AMA

1.Salık F, Akelma H. Our Experiences of Pre-emptive Analgesia in Pediatric Penile Surgery: A Retrospective Comparison of the Analgesic Effects of Caudal Block and Dorsal Penile Block. Dicle Medical Journal. 2019;46(4):813-820. doi:10.5798/dicletip.661399

Chicago

Salık, Fikret, and Hakan Akelma. 2019. “Our Experiences of Pre-Emptive Analgesia in Pediatric Penile Surgery: A Retrospective Comparison of the Analgesic Effects of Caudal Block and Dorsal Penile Block”. Dicle Medical Journal 46 (4): 813-20. https://doi.org/10.5798/dicletip.661399.

EndNote

Salık F, Akelma H (December 1, 2019) Our Experiences of Pre-emptive Analgesia in Pediatric Penile Surgery: A Retrospective Comparison of the Analgesic Effects of Caudal Block and Dorsal Penile Block. Dicle Medical Journal 46 4 813–820.

IEEE

[1]F. Salık and H. Akelma, “Our Experiences of Pre-emptive Analgesia in Pediatric Penile Surgery: A Retrospective Comparison of the Analgesic Effects of Caudal Block and Dorsal Penile Block”, Dicle Medical Journal, vol. 46, no. 4, pp. 813–820, Dec. 2019, doi: 10.5798/dicletip.661399.

ISNAD

Salık, Fikret - Akelma, Hakan. “Our Experiences of Pre-Emptive Analgesia in Pediatric Penile Surgery: A Retrospective Comparison of the Analgesic Effects of Caudal Block and Dorsal Penile Block”. Dicle Medical Journal 46/4 (December 1, 2019): 813-820. https://doi.org/10.5798/dicletip.661399.

JAMA

1.Salık F, Akelma H. Our Experiences of Pre-emptive Analgesia in Pediatric Penile Surgery: A Retrospective Comparison of the Analgesic Effects of Caudal Block and Dorsal Penile Block. Dicle Medical Journal. 2019;46:813–820.

MLA

Salık, Fikret, and Hakan Akelma. “Our Experiences of Pre-Emptive Analgesia in Pediatric Penile Surgery: A Retrospective Comparison of the Analgesic Effects of Caudal Block and Dorsal Penile Block”. Dicle Medical Journal, vol. 46, no. 4, Dec. 2019, pp. 813-20, doi:10.5798/dicletip.661399.

Vancouver

1.Fikret Salık, Hakan Akelma. Our Experiences of Pre-emptive Analgesia in Pediatric Penile Surgery: A Retrospective Comparison of the Analgesic Effects of Caudal Block and Dorsal Penile Block. Dicle Medical Journal. 2019 Dec. 1;46(4):813-20. doi:10.5798/dicletip.661399