Dorsal penile nerve block for male pediatric circumcision – randomized comparison of ultrasound‐guided vs anatomical landmark technique

O’Sullivan, Michael; Mislovic, Branislav; Alexander, Elise

doi:10.1111/j.1460-9592.2011.03722.x

Cited by 42 publications

(45 citation statements)

References 15 publications

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“…5 When comparing ultrasound-guided dorsal penile nerve blocks, landmark-based dorsal penile nerve blocks, and caudal epidural analgesia in 216 circumcisions, there was a difference in the percentage of patients requiring intraoperative opiates (5.5%, 63%, and 1.7%, respectively; P < 0.0001), suggesting less ultrasound-guided block patients required intraoperative opiates compared with the landmark method group (5.5% vs 63%) but similarity to the caudal epidural group (5.5% vs 1.7%). 20 O'Sullivan et al 8 found no difference in the number of patients requiring fentanyl during the intraoperative period and immediately postoperatively when comparing the ultrasound-guided dorsal penile block group with the landmark technique group (29.4% vs 37.5%; P = 0.663).…”

Section: Peripheral Nerve Blocksmentioning

confidence: 98%

Evidence for the Use of Ultrasound Imaging in Pediatric Regional Anesthesia

Lam

Corry

Tsui

2016

Regional Anesthesia and Pain Medicine

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Studies in the current review provide stronger evidence and have addressed a number of outcomes that were previously inconsistent or lacked strength in evidence. In the current systematic review, we identified more studies in a shorter period compared with the previous review, and these studies contain higher levels of evidence compared with what we previously found. Randomized controlled trials and well-designed prospective observational studies have replaced case series. Stronger evidence from the literature suggests that ultrasound-guided peripheral blocks decrease block performance time when compared with nerve stimulation (but take longer than the landmark technique), increase block success, and increase block quality (as measured by analgesic consumption, block duration, and pain scores). Ultrasound guidance in neuraxial blocks improves needling time, predicts epidural depth, allows visualization of the catheter and local anesthetic spread, and improves block quality. Furthermore, we identified 2 large-scale prospective studies describing the incidence of adverse events and complications in pediatric regional anesthesia. The increase in evidence presented in this review reflects the efficacy and prevalent use of ultrasound imaging in pediatric regional anesthesia.

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Section: Peripheral Nerve Blocksmentioning

confidence: 98%

Evidence for the Use of Ultrasound Imaging in Pediatric Regional Anesthesia

Lam

Corry

Tsui

2016

Regional Anesthesia and Pain Medicine

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“…[4] Bir başka çalışma US rehberliğinde DPN bloğun kör tekniğe oranla daha etkili olduğunu ve hastaların daha az analjezik ihtiyacı olduğunu göstermiştir. [5] Bizim olgumuzda US rehberliğinde DPN Blok ile hipospadias cerrahisinde 24 saat boyunca etkin analjezi sağlanmıştır, US rehberliğinde uygulanan DPN Blok teknik olarak kolay ve emniyetli bir yöntemdir. …”

Section: Olgu Sunumuunclassified

Ultrasound guided penil nerve block for pediatric hypospadias surgery

Türkyılmaz

Gürkan²,

Cesur³

et al. 2017

Agri

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ÖzetAltı yaşında, 19 kg, ASA II erkek hastaya hipospadias cerrahisi sonrası postoperatif analjezi amaçlı ultrason (US) rehberliğinde Dorsal Penil Nerve (DPN) blok uygulandı. Genel anestezi indüksiyonundan sonra hastaya blok yapıldı. Anestezi idamesi olarak O 2 /N 2 0 (1:2 oranında) ve sevofluran %2 ile devam edildi. DPN için O.2 ml/kg %0.25 bupivakain kullanıldı. Hastanın ilk 24 saat içinde ağrısının olmadığı gözlendi.Anahtar sözcükler: Hipospadyas; pediatrik; penil blok; ultrason. SummaryAn ultrasound-guided dorsal penile nerve (DPN) block was performed for postoperative analgesia in a 6-year-old, 19 kg, American Society of Anesthesiologists class II patient undergoing hypospadias surgery. The block was applied following the induction of general anesthesia. Anesthesia maintenance was provided with sevoflurane 2% in a 1:2 ratio of oxygen and nitrous oxide. The DPN block was performed using 0.2 mL/kg of 0.25% bupivacaine. Almost 24 hours of analgesia was provided following surgery.Keywords: Hypospadias; pediatric; penile block; ultrasound. Pediatrik hipospadias cerrahisinde ultrason rehberliğinde penil blok uygulamasıUltrasound-guided penile nerve block for pediatric hypospadias surgery Neşe TÜRKYILMAZ, Yavuz GÜRKAN, Sevim CESUR, Alparslan KUŞ, Mine SOLAK Agri 2018;30(2):97-98

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“…Approximately 15 minutes after block placement, the patient reported complete reduction of pain. The paraphimosis was reduced without complication or discomfort.The UDPB was recently described for pediatric penile anesthesia including circumcision, dorsal slit of the foreskin, penile lacerations, and reduction of paraphimosis [1,8,9]. Herein we present the first of an UDPB in the ED with an adult.…”

mentioning

confidence: 94%

“…The UDPB reported was easy to preform and quite successful in producing a dense anesthesia of the penis. The UDPB may be a useful adjunct to oral or parenteral analgesics for painful ED procedures involving the penis, most commonly, priapism, and paraphimosis reductions [8]. The UG technique holds promise to increase success rates and decrease complications associated with traditional blind methods for penile nerve blocks.…”

mentioning

confidence: 99%