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Caudal or Dorsal Nerve Block?
Author(s) -
VATER M.,
WANDLESS J.
Publication year - 1985
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1111/j.1399-6576.1985.tb02180.x
Subject(s) - medicine , anesthesia , dorsum , nerve block , vomiting , pain scale , surgery , incidence (geometry) , block (permutation group theory) , anatomy , physics , optics , geometry , mathematics
Fifty boys presenting for day case circumcision were allocated randomly to receive either caudal analgesia or dorsal nerve block (DNB) to provide postoperative pain relief. Analgesia was assessed by a single, unbiased observer utilising a three‐point scale. Subsequently, parents completed a simple questionnaire. Subjects in the DNB group micturated earlier ( P <0.05) and stood unaided earlier ( P <0.025) than patients in the caudal group. The incidence of vomiting was significantly lower in the DNB group ( P <0.05). There was no significant difference in the duration of analgesia, although that produced in the DNB group tended to wane sooner. It is concluded that DNB provides satisfactory analgesia following circumcision and has specific advantages when compared with caudal analgesia.