::INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES::

CODEN : IAJPBB
issn 2349-7750

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TITLE:

PAIN DURING NEONATAL CIRCUMCISION: COMPARISON IN DORSAL PENILE VERSUS COMBINED DORSAL AND VENTRAL PENILE BLOCK IN A RANDOMIZED CONTROL TRIAL

AUTHORS:

Kashifuddin Qayoom Soomro, Mumtaz Ahmed Qureshi, Syed Azhar Hussain Shah, Shoukat Ali Mughal, Naveed Soomro, Javed Altaf Jat

ABSTRACT:

Objective: To assess the pain during neonatal circumcision with dorsal penile versus combined dorsal penile nerve and ventral penile block Material and Method: Total of 200 full term neonates electively presented at circumcision clinic for plasti-bell (Hollister Inc) circumcision. All parents were counseled for mode of analgesia and randomization. Written consent was taken from all parents. In Group A only dorsal penile nerves were anesthetized and in Group B along with dorsal penile nerves, additional anesthesia was also injected on ventral aspect of penile shaft. Pain was assessed on modified - Neonatal Infant Pain Scale (NIPS). Pulse and Oxygen saturation was monitored with trans-cutaneous pulseoximeter. Data was analyzed using SPSS version 23. p value of <0.05 is considered as statistically significant. Results: In Group A, mean age of neonates was 4.4+1.6 months and in Group B mean age was 4.1+1.2 months. When compared p value was statistically not significant (p=0.09). The mean weight in Group A was 5.2+0.4Kg and in Group B was 4.9+0.6kg, when compared p=0.08). The mean Neonatal Infant pain score in Group A was 4.0+0.3 and in Group B 2.9+0.4, when compared p = <0.001. Pulse and oxygen saturation in group A was 149+70 beats/minutes, 98%. And in Group B it was 131.2+29.8 beats/minute and saturation of 98%. When compared both groups there was statistically significant deference in pulse rate p=<0.001 but there was no statistical deference in oxygen saturation levels. Conclusion: Combined Dorsal penile nerve block and ventral penile block significantly reduces the pain in elective plasti-bell circumcision. Key words: Plasti-bell circumcision, dorsal penile nerve block, ventral penile block.