TY - JOUR TT - Our Experiences of Pre-emptive Analgesia in Pediatric Penile Surgery: A Retrospective Comparison of the Analgesic Effects of Caudal Block and Dorsal Penile Block AU - Salık, Fikret AU - Akelma, Hakan PY - 2019 DA - December DO - 10.5798/dicletip.661399 JF - Dicle Medical Journal JO - diclemedj PB - Dicle Üniversitesi WT - DergiPark SN - 1300-2945 SP - 813 EP - 820 VL - 46 IS - 4 LA - en KW - Caudal block KW - dorsal penile block N2 - Objective: Postoperative analgesia control is very important in circumcision patients, so preemptive analgesiamethods are widely used for this purpose. The aim of this study was to compare patients undergoing circumcisionapplied with the most commonly used preemptive analgesia methods of caudal block or dorsal penile block, betweenJanuary 2016 and September 2017 in our hospital. Methods: This retrospective study included 483 cases who underwent a circumcision operation at Ermenek StateHospital between January 2016 and September 2017 and were administered caudal block or dorsal penile block aspreemptive analgesia. The anesthesia follow-up forms and nurse observation forms of the patients were examinedand a record was made of demographic data, duration of surgery, duration of anesthesia, intraoperative andpostoperative analgesic requirements and complications. From the clinics observation records of the patients, thetime 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 analgesiain the first 6-hour period, and the VAS scores were lower (p 0.05).Conclusion: It is easy and safe to administer caudal block or dorsal penile block with bupivacaine for preventiveanalgesia in children undergoing circumcision. However, caudal block is more effective in providing postoperativeanalgesia. CR - 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. UR - https://doi.org/10.5798/dicletip.661399 L1 - https://dergipark.org.tr/tr/download/article-file/891710 ER -