Abstract | BACKGROUND AND OBJECTIVES: METHODS: This prospective, double-blind, randomized, controlled study enrolled 84 patients receiving pudendal block or caudal block before hypospadias surgery. In the pudendal group, the pudendal nerve was identified using a nerve stimulator, and the block consisted of 0.25% bupivacaine 0.5 mL/kg. In the caudal group, the caudal block used 0.2% bupivacaine 1 mL/kg. Our primary outcome was pain intensity within 24 hours postoperatively. The trial was registered at ClinicalTrials.gov (number: NCT02390388). RESULTS: For the primary outcome, patients in the pudendal group had lower postoperative pain intensity when compared with the caudal group (P < 0.001). Three patients in the pudendal group and all of the patients in the caudal group needed additional analgesia within 24 hours after the surgery (P < 0.001). The family satisfaction rate was significantly higher in the pudendal group (P < 0.001). CONCLUSIONS: For the pudendal group, the pain scores for the first 24 hours after the surgery were significantly lower and the duration of analgesia was longer.
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Authors | Pinar Kendigelen, Ayse Cigdem Tutuncu, Senol Emre, Fatis Altindas, Guner Kaya |
Journal | Regional anesthesia and pain medicine
(Reg Anesth Pain Med)
2016 Sep-Oct
Vol. 41
Issue 5
Pg. 610-5
ISSN: 1532-8651 [Electronic] England |
PMID | 27501015
(Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial)
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Chemical References |
- Anesthetics, Local
- Bupivacaine
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Topics |
- Anesthetics, Local
(administration & dosage, adverse effects)
- Bupivacaine
(administration & dosage, adverse effects)
- Child
- Child, Preschool
- Double-Blind Method
- Humans
- Hypospadias
(diagnosis, surgery)
- Infant
- Male
- Nerve Block
(adverse effects, methods)
- Pain Measurement
- Pain, Postoperative
(diagnosis, etiology, prevention & control)
- Patient Satisfaction
- Prospective Studies
- Pudendal Nerve
- Time Factors
- Treatment Outcome
- Turkey
- Urologic Surgical Procedures, Male
(adverse effects)
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