Pediatric anesthesia & critical care
Randomized controlled trial (RCT) comparing ultrasound-guided pudendal nerve block with ultrasound-guided penile nerve block for analgesia during pediatric circumcision
Authors' conclusion
Both ultrasound-guided blocks, performed under general anesthesia, provide equivalent postoperative analgesia for pediatric circumcision as evidenced by low pain scores and opioid consumption.
Study context
- Population
- Prepubertal males aged 1–12 years undergoing elective circumcisionincluded for analysis
- Participants
- 155 males
- Comparison
- Pudendal vs penile
- Pudendaln = 77
- Penilen = 78reference
- Primary endpoint
- Postoperative face, legs, activity, cry, consolability (FLACC) (face, legs, activity, cry, consolability) scores
Methodological detailsblinded
- Blinded
Primary result
As reported in the abstract
Postoperative FLACC scores
- Not statistically different between groups
- p=0.19-0.97
Secondary outcomes
Surgeon satisfaction (optimal)
P < 0.01
Intraoperative hemodynamic changes (>20% rise of HR or BP)
P < 0.01
Intraoperative fentanyl use
P < 0.01
Other secondary outcomes (parent pain measure, 24-h analgesic use, parent satisfaction, block time, PACU and discharge time)
- Not statistically different
Original publication
Randomized controlled trial (RCT) comparing ultrasound-guided pudendal nerve block with ultrasound-guided penile nerve block for analgesia during pediatric circumcision. Reg Anesth Pain Med. Published 17 November 2022. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →