Comparing pain control using oral acetaminophen versus dorsal penile block in neonatal circumcision

Ogundoyin, Olakayode Olaolu; Olulana, Dare Isaac; Lawal, Taiwo A.; Kumolalo, Felix O.

doi:10.1186/s43159-019-0002-z

Cited by 2 publications

(1 citation statement)

References 18 publications

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“…A combination of analgesics such as a topical anesthetic plus a sucrose plus ring block is shown to be most effective. Other adjunct methods to comfort the infant include the use of acetaminophen 24-48 hours after the procedure, swaddling, use of a pacifier, and breastfeeding (Ogundoyin et al, 2019).…”

Section: Pain Managementmentioning

confidence: 99%

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Highton

Joseph

Dyer

et al. 2022

Journal of Pediatric Surgical Nursing

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Male circumcision originated as a covenant of God withAbraham in biblical times. This practice is rooted in the Jewish and Islamic religions as both claim ancestry with Abraham. Although neonatal male circumcision was mostly performed in these cultures, it became a common practice in the United States in the 1800s. As this is not medically necessary, the frequency of male circumcision is decreasing in some parts of the world, although circumcision in older men is increasing because of the health benefits reported. Although there are several techniques to perform the procedure, pain management during and after the procedure is important. The nurse must ensure that the infant is the right candidate for the procedure, support the parental decision, and monitor the infant for any complications. Research around male circumcision on the long-term effects, reduction of complications, and economic and health benefits earlier in life may be important.

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Section: Pain Managementmentioning

confidence: 99%

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Highton

Joseph

Dyer

et al. 2022

Journal of Pediatric Surgical Nursing

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Evaluation of the Effect of Nutritive Versus Non-nutritive Pacifiers as Adjuncts to Local Anaesthesia in Male Neonatal Circumcision Using the Plastibell Technique – A Prospective Randomised Controlled Study

Ihediwa

Bode

Alakaloko

et al. 2022

Nigerian Postgraduate Medical Journal

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Background: Male circumcision is the most common surgical procedure worldwide and is often carried out for religious, cultural, medical and public health reasons. It is commonly performed during the neonatal period. Many studies have now shown that pain is a common intra- and post-operative complication. To ensure proper analgesia during the procedure, many surgeons opt for the use of pacifiers as an adjunct to anaesthesia during neonatal circumcision. The aim of this study is to compare nutritive pacifiers (NPs) versus non-NPs (NNPs) as adjuncts to local anaesthesia in male neonatal circumcision using the Plastibell technique. Methods: A prospective randomised controlled study was carried out between October 2019 and March 2020. A total of 100 neonates were circumcised using the Plastibell technique and randomised into NP (Group A, n = 33), NNP (Group B, n = 33) and controls (Group C, n = 34), respectively. The differences in pain scores using the Neonatal Infant Pain Scale, total crying time and heart rate during circumcision were recorded and assessed. Results: The age of participants ranged from 5 to 28 days and the weight ranged from 2.5 to 5.0 kg. The overall mean age, birth weight and current weight of the participants were 15.5 ± 6.1 days, 3.4 ± 0.4 kg and 3.5 ± 0.6 kg, respectively. The control group had the highest average pain score of 5.5 (4.5–5.8) compared to the intervention groups with median pain score (NP: 3.3 [1.3–4.3] and (NNP: 4.3 [3.1–5.1], respectively). NPs had significantly lower pain scores (P = 0.023) and reduced total crying time (P = 0.019) at all stages of the circumcision compared to those given NNPs and controls. Conclusion: This study showed that NPs were superior to NNPs in providing additional pain control during male neonatal circumcision.

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Comparing pain control using oral acetaminophen versus dorsal penile block in neonatal circumcision

Cited by 2 publications

References 18 publications

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Evaluation of the Effect of Nutritive Versus Non-nutritive Pacifiers as Adjuncts to Local Anaesthesia in Male Neonatal Circumcision Using the Plastibell Technique – A Prospective Randomised Controlled Study

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