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[Usefulness of penile blockade in postoperative analgesia of circumcision procedures]
S Francí Ventosa1, W Espinosa Soldevila
1Servicio de Anestesiología y Reanimación, Hospital del Mar, Barcelona.
Insights
Penile blockade effectively manages pediatric circumcision pain. This study found the procedure safe and beneficial for postoperative recovery in children.
Area of Science:
- Pediatric Anesthesiology
- Pain Management
- Surgical Procedures
Context:
- Circumcision is a common pediatric surgical procedure.
- Postoperative pain control is crucial for pediatric patients.
- General anesthesia combined with local blockade is often employed.
Purpose:
- To evaluate the efficacy of penile blockade using bupivacaine or mepivacaine for postoperative pain control in pediatric circumcision.
- To compare the analgesic effects of bupivacaine and mepivacaine in pediatric patients undergoing circumcision.
Summary:
- Sixty pediatric patients (2-13 years, ASA I) undergoing circumcision under general anesthesia received a penile blockade via Bacon's technique.
- Patients were randomized into three groups: saline (control), bupivacaine (0.5%), or mepivacaine (2%).
- Pain was assessed using Broadman's scale, revealing the blockade to be effective, pain-free, and without secondary effects.
Impact:
- Penile blockade is a safe and effective method for managing postoperative pain in pediatric circumcision.
- The procedure offers significant benefits for the postoperative period, enhancing patient comfort.
- This technique provides a convenient and advantageous approach for this common pediatric surgery.
Abstract:
A study of 60 pediatric patients (ASA I), aged 2-13 years, was carried out. They had been operated for circumcision under general anesthesia. A penile blockade was carried out in all with a puncture in the middle line, following Bacon's technique, to control postoperative pain. They were divided in three groups of 20 patients each, depending on the drug that was used: group I (control), 4.5 ml of saline; group II, 0.5% bupivacaine, 20-25 mg, and group III, 2% mepivacaine, 80-100 mg. For the analgesic evaluation, Broadman's scale of pain/discomfort was used. The results showed that the procedure is effective, pain free, easy to perform and free from secondary effects. Therefore, it is beneficial for the postoperative period and convenient in this type of surgery.