Department of Anesthesiology and Reanimation, Karamanoğlu Mehmetbey University Faculty of Medicine, Yunus Emre Campus, Center, 70200, Karaman, Turkey.
Department of Urology, Karamanoğlu Mehmetbey University Faculty of Medicine, Yunus Emre Campus, Center, 70200, Karaman, Turkey.
Pediatr Surg Int. 2024 Apr 8;40(1):101. doi: 10.1007/s00383-024-05681-5.
In children, circumcision is a procedure associated with perioperative pain and parental satisfaction is an important parameter in the evaluation of anesthesia procedures. Inadequate dorsal penile nerve block (DPNB) for the ventral shaft of the penis might impact parental satisfaction negatively. To evaluate this hypothesis, we compared the effects of penile ring block (RB) and dorsal penile nerve block (DPNB) on parental satisfaction. Postoperative pain, need for additional analgesia, intraoperative hemodynamic data, recovery status, side effects, and postoperative complications were evaluated as secondary outcomes between the blocks.
Parental satisfaction and anesthetic effectiveness of RB and DPNB for circumcision in children were compared. 86 patients were randomized 1:1 to Group RB and Group DPNB, which were administered the same dose of anesthesia. Parental satisfaction was evaluated with the Pediatric Anesthesia Parental Satisfaction Questionnaire (PAPS). Postoperative pain evaluations were made with the Face, Legs, Activity, Crying, Consolability Pain Scale (FLACC).
In terms of parent satisfaction, no differences were detected between the groups in the pre-anesthesia, pre-anesthesia and post-anesthesia, post-anesthesia, hospital team, and anesthesia team parameters (p > 0.05). The scores of Group DPNB patients were higher only in the "Q11" subparameter in the "anesthesia team" parameter, and this difference was significant (0.024).
RB and DPNB were compared in circumcision, which is the most common surgical procedure for children. Parental satisfaction, anesthesia, and analgesic effects of both blocks were found to be similar.
ACTRN12622001211752.
在儿童中，割礼是一种与围手术期疼痛相关的手术，而父母满意度是评估麻醉程序的一个重要参数。阴茎背神经阻滞（DPNB）对阴茎腹侧轴的不完全阻滞可能会对父母满意度产生负面影响。为了验证这一假设，我们比较了阴茎环阻滞（RB）和阴茎背神经阻滞（DPNB）对父母满意度的影响。术后疼痛、额外镇痛需求、术中血流动力学数据、恢复状态、副作用和术后并发症作为次要结局在两组之间进行评估。
比较了 RB 和 DPNB 用于儿童割礼的麻醉效果和父母满意度。86 例患者按 1:1 随机分为 RB 组和 DPNB 组，两组均给予相同剂量的麻醉。父母满意度采用小儿麻醉父母满意度问卷（PAPS）进行评估。术后疼痛采用面部、腿部、活动、哭泣、安抚疼痛量表（FLACC）进行评估。
在父母满意度方面，两组在麻醉前、麻醉前和麻醉后、麻醉后、医院团队和麻醉团队参数方面均无差异（p>0.05）。只有 DPNB 组患者的“麻醉团队”参数中的“Q11”子参数得分较高，且差异有统计学意义（0.024）。
比较了 RB 和 DPNB 在最常见的儿童手术——割礼中的应用。发现两种阻滞方式的父母满意度、麻醉和镇痛效果相似。
ACTRN12622001211752。
