Araştırma Makalesi

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

Cilt: 46 Sayı: 4 15 Aralık 2019
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Our Experiences of Pre-emptive Analgesia in Pediatric Penile Surgery: A Retrospective Comparison of the Analgesic Effects of Caudal Block and Dorsal Penile Block

Öz

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.

Anahtar Kelimeler

Kaynakça

  1. 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.

Ayrıntılar

Birincil Dil

İngilizce

Konular

Sağlık Kurumları Yönetimi

Bölüm

Araştırma Makalesi

Yayımlanma Tarihi

15 Aralık 2019

Gönderilme Tarihi

19 Eylül 2019

Kabul Tarihi

6 Kasım 2019

Yayımlandığı Sayı

Yıl 2019 Cilt: 46 Sayı: 4

Kaynak Göster

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. diclemedj. 2019;46(4):813-820. doi:10.5798/dicletip.661399
Chicago
Salık, Fikret, ve 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 (01 Aralık 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 ve 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”, diclemedj, c. 46, sy 4, ss. 813–820, Ara. 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 (01 Aralık 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. diclemedj. 2019;46:813–820.
MLA
Salık, Fikret, ve 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, c. 46, sy 4, Aralık 2019, ss. 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. diclemedj. 01 Aralık 2019;46(4):813-20. doi:10.5798/dicletip.661399