Penile Block via Subpubic Space for Children Who Underwent Superficial Operation of the Penis

Ishigooka, Manabu; Yaguchi, Hiromasa; Hashimoto, Tohru; Hayami, Shinsuke; Sasagawa, Isoji; Nakada, Teruhiro; Mitobe, K

doi:10.1159/000282657

Cited by 9 publications

(2 citation statements)

References 6 publications

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“…Numerous earlier studies have evaluated the efficacy of penile block given under GA.[121315–17] In the present study, we were successfully able to administer the block under sedation with ketamine. As also highlighted by all the earlier studies, the block was easy to perform and there were no technical difficulties while giving the block.…”

Section: Discussionmentioning

confidence: 74%

Penile block for paediatric urological surgery: A comparative evaluation with general anaesthesia

Panda¹,

Bajwa²,

Sen³

et al. 2011

Indian J Urol

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Aim:Peri-operative pain relief in children can be provided by conventional general anaesthesia or by regional nerve blocks. The present study was carried out to evaluate and compare the effectiveness of penile block for penile surgery with the standard technique of general anaesthesia (GA) of short duration of less than two hours, and also to evaluate the postoperative pain relief obtained by penile block.Materials and Methods:The study was carried out in the department of Anaesthesiology and Intensive care of our hospital, on 60 children in the age group of 1-10 years, belonging to American Society of Anesthesiologists (ASA) grades I and II, and divided randomly into two groups: Group B and group G, comprising of 30 patients each. Group B children received a penile block whereas group G children underwent a standard general anaesthetic procedure. Baseline, intra-operative and post-operative heart rate (HR), electrocardiogram (ECG), non-invasive blood pressure (NIBP) (systolic and diastolic) and pulse oximeter oxygen saturation (SpO2) were recorded at regular intervals. The duration of post-operative pain relief, time to rescue analgesia and time to first feed were also evaluated and recorded. Statistical analysis was carried out using statistical package for social sciences (SPSS) 11 version for windows and employing analysis of variance (ANOVA), unpaired student t test, Chi-square test and Mann Whitney U test for various parameters. Value of P<0.05 was considered as significant and P<0.0001 as highly significant.Results:The demographic characteristics were comparable in both the groups. Heart rate, systolic blood pressure, diastolic blood pressure and pulse oximetry showed remarkable differences at various time intervals during intra-operative and post-operative period, which were statistically significant on comparison (P<0.05 and P<0.0001). Post-operative pain relief, time to first rescue analgesia and time to first feed also showed statistically significant differences.Conclusions:Penile block is very effective when used along with light sedation for distal penile surgeries of less than 2 hours duration as compared to standard GA as reflected by more stable haemodynamics in peri-operative period, excellent pain relief extending up to 6-8 hrs postoperatively and absence of any significant complications or side effects.

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Section: Discussionmentioning

confidence: 74%

Penile block for paediatric urological surgery: A comparative evaluation with general anaesthesia

Panda¹,

Bajwa²,

Sen³

et al. 2011

Indian J Urol

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show abstract

“…Numerous previous studies have evaluated the efficacy of penile block given under general anesthesia [50, 51]. It has been proposed that penile block alone provides successful intraoperative analgesia for circumcision in children.…”

Section: Methodsmentioning

confidence: 99%

The use of multi-criteria decision making models in evaluating anesthesia method options in circumcision surgery

Hançerlioğulları

Hancerliogullari

Köksalmiş

2017

BMC Med Inform Decis Mak

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BackgroundDetermining the most suitable anesthesia method for circumcision surgery plays a fundamental role in pediatric surgery. This study is aimed to present pediatric surgeons’ perspective on the relative importance of the criteria for selecting anesthesia method for circumcision surgery by utilizing the multi-criteria decision making methods.MethodsFuzzy set theory offers a useful tool for transforming linguistic terms into numerical assessments. Since the evaluation of anesthesia methods requires linguistic terms, we utilize the fuzzy Analytic Hierarchy Process (AHP) and fuzzy Technique for Order Preference by Similarity to Ideal Solution (TOPSIS). Both mathematical decision-making methods are originated from individual judgements for qualitative factors utilizing the pair-wise comparison matrix. Our model uses four main criteria, eight sub-criteria as well as three alternatives. To assess the relative priorities, an online questionnaire was completed by three experts, pediatric surgeons, who had experience with circumcision surgery.ResultsDiscussion of the results with the experts indicates that time-related factors are the most important criteria, followed by psychology, convenience and duration. Moreover, general anesthesia with penile block for circumcision surgery is the preferred choice of anesthesia compared to general anesthesia without penile block, which has a greater priority compared to local anesthesia under the discussed main-criteria and sub-criteria.ConclusionsThe results presented in this study highlight the need to integrate surgeons’ criteria into the decision making process for selecting anesthesia methods. This is the first study in which multi-criteria decision making tools, specifically fuzzy AHP and fuzzy TOPSIS, are used to evaluate anesthesia methods for a pediatric surgical procedure.Electronic supplementary materialThe online version of this article (doi:10.1186/s12911-017-0409-5) contains supplementary material, which is available to authorized users.

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Regional- und Lokalanästhesie

Reich¹

Schmerztherapie Bei Kindern

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Penile Block via Subpubic Space for Children Who Underwent Superficial Operation of the Penis

Cited by 9 publications

References 6 publications

Penile block for paediatric urological surgery: A comparative evaluation with general anaesthesia

Penile block for paediatric urological surgery: A comparative evaluation with general anaesthesia

The use of multi-criteria decision making models in evaluating anesthesia method options in circumcision surgery

Regional- und Lokalanästhesie

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