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Article: EMLA® cream versus dorsal penile nerve block for postcircumcision analgesia in children

TitleEMLA® cream versus dorsal penile nerve block for postcircumcision analgesia in children
Authors
Issue Date2003
PublisherLippincott, Williams & Wilkins. The Journal's web site is located at http://www.anesthesia-analgesia.org
Citation
Anesthesia And Analgesia, 2003, v. 96 n. 2, p. 396-399 How to Cite?
AbstractWe conducted a prospective, randomized, double-blinded trial comparing preoperative application of EMLA® cream and sodium chloride solution dorsal penile block (n = 31) with placebo cream and bupivacaine dorsal penile nerve block (n = 32) for postcircumcision analgesia. Pain was assessed using modified Children's Hospital of Eastern Ontario Pain Scale and the duration of block by the time to requirement of first dose of postoperative analgesic. There was no difference in Children's Hospital of Eastern Ontario Pain Scale between the two groups, but bupivacaine dorsal penile nerve block resulted in longer analgesia (P = 0.003). There were no local or systemic complications related to either technique, and there was a very small incidence of vomiting. We conclude that preoperative application of EMLA® cream is an effective and simple method to produce postcircumcision analgesia with a very small incidence of adverse effects.
Persistent Identifierhttp://hdl.handle.net/10722/147199
ISSN
2015 Impact Factor: 3.827
2015 SCImago Journal Rankings: 1.523
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorChoi, WYen_US
dc.contributor.authorIrwin, MGen_US
dc.contributor.authorHui, TWCen_US
dc.contributor.authorLim, HHen_US
dc.contributor.authorChan, KLen_US
dc.date.accessioned2012-05-29T06:00:44Z-
dc.date.available2012-05-29T06:00:44Z-
dc.date.issued2003en_US
dc.identifier.citationAnesthesia And Analgesia, 2003, v. 96 n. 2, p. 396-399en_US
dc.identifier.issn0003-2999en_US
dc.identifier.urihttp://hdl.handle.net/10722/147199-
dc.description.abstractWe conducted a prospective, randomized, double-blinded trial comparing preoperative application of EMLA® cream and sodium chloride solution dorsal penile block (n = 31) with placebo cream and bupivacaine dorsal penile nerve block (n = 32) for postcircumcision analgesia. Pain was assessed using modified Children's Hospital of Eastern Ontario Pain Scale and the duration of block by the time to requirement of first dose of postoperative analgesic. There was no difference in Children's Hospital of Eastern Ontario Pain Scale between the two groups, but bupivacaine dorsal penile nerve block resulted in longer analgesia (P = 0.003). There were no local or systemic complications related to either technique, and there was a very small incidence of vomiting. We conclude that preoperative application of EMLA® cream is an effective and simple method to produce postcircumcision analgesia with a very small incidence of adverse effects.en_US
dc.languageengen_US
dc.publisherLippincott, Williams & Wilkins. The Journal's web site is located at http://www.anesthesia-analgesia.orgen_US
dc.relation.ispartofAnesthesia and Analgesiaen_US
dc.subject.meshAcetaminophen - Therapeutic Useen_US
dc.subject.meshAdministration, Topicalen_US
dc.subject.meshAnalgesics, Non-Narcotic - Therapeutic Useen_US
dc.subject.meshAnalgesics, Opioid - Therapeutic Useen_US
dc.subject.meshAnesthetics, Combined - Administration & Dosage - Adverse Effects - Therapeutic Useen_US
dc.subject.meshChilden_US
dc.subject.meshChild, Preschoolen_US
dc.subject.meshCircumcision, Male - Adverse Effectsen_US
dc.subject.meshDouble-Blind Methoden_US
dc.subject.meshFentanyl - Therapeutic Useen_US
dc.subject.meshHumansen_US
dc.subject.meshLidocaine - Administration & Dosage - Adverse Effects - Therapeutic Useen_US
dc.subject.meshMaleen_US
dc.subject.meshNerve Block - Adverse Effectsen_US
dc.subject.meshPain Measurement - Drug Effectsen_US
dc.subject.meshPain, Postoperative - Drug Therapyen_US
dc.subject.meshPenis - Innervationen_US
dc.subject.meshPrilocaine - Administration & Dosage - Adverse Effects - Therapeutic Useen_US
dc.subject.meshProspective Studiesen_US
dc.titleEMLA® cream versus dorsal penile nerve block for postcircumcision analgesia in childrenen_US
dc.typeArticleen_US
dc.identifier.emailIrwin, MG:mgirwin@hku.hken_US
dc.identifier.authorityIrwin, MG=rp00390en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1097/00000539-200302000-00018en_US
dc.identifier.pmid12538184en_US
dc.identifier.scopuseid_2-s2.0-0037301966en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0037301966&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume96en_US
dc.identifier.issue2en_US
dc.identifier.spage396en_US
dc.identifier.epage399en_US
dc.identifier.isiWOS:000180601400016-
dc.publisher.placeUnited Statesen_US

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