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A comparison of pudendal block vs dorsal penile nerve block for circumcision in children: a randomised controlled trial
Author(s) -
Naja Z.,
AlTannir M. A.,
Faysal W.,
Daoud N.,
Ziade F.,
ElRajab M.
Publication year - 2011
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.2011.06753.x
Subject(s) - medicine , pudendal nerve , nerve block , dorsum , anesthesia , analgesic , nerve stimulator , penis , anus , block (permutation group theory) , surgery , anatomy , geometry , mathematics
Summary We compared the analgesic and anaesthetic efficacy of pudendal nerve block with that of dorsal penile nerve block in male patients aged 3–5 years of age, undergoing elective circumcision. Thirty patients had a nerve stimulator‐guided pudendal nerve block with two separate injection points 1.5–2 cm from the centre of the anus, and thirty patients received a dorsal penile nerve block. The same total anaesthetic volume of 0.3 ml.kg −1 was used in both groups. The pudendal nerve group showed significantly lower postoperative pain scores than the dorsal group (SD) (p < 0.05), and significantly fewer patients consumed analgesics in the pudendal group than the dorsal group: 0 vs 5 (17%) at 0 and 6 h, respectively. This study demonstrates the effectiveness of pudendal nerve block in comparison to the dorsal nerve block, with improved postoperative outcomes in children undergoing circumcision.