Pediatric Ultrasound-guided Dorsal Penile Nerve Block Plus Sedation in Spontaneous Breathing

Azienda Sanitaria-Universitaria Integrata di Udine

Status: Completed

Conditions: Child, Only

Treatments: Procedure: Ultrasound-guided dorsal penile nerve block

Study type: Observational

Funder types: Other

Identifiers

NCT04475458

Ultrasound guided DPNB

Details and patient eligibility

About

One of the most frequent surgical procedures in the pediatric population is circumcision, following which postoperative pain could be stressful. Usually, the most common approach is combining regional anesthesia techniques such as landmark dorsal penile nerve block (DPNB) with general anesthesia (GA). The hypothesis of this study investigates ultrasound-guided DPNB plus sedation in spontaneous breathing.

Enrollment: 70 patients

Sex: Male

Ages: 6 months to 17 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• candidates to circumcision
• age between 6 months and 17 years
• American Society of Anesthesiologists (ASA) physical status < 3
• written consent of the parents

Exclusion criteria

• allergies to local anesthetics
• younger than 6 months and older than 17 years
• ASA physical status =/> 3
• no written consent of the parents

Trial design

70 participants in 2 patient groups

LANDMARK

Description:

The children who underwent circumcision received general anesthesia plus dorsal penis nerve block performed by the surgeon with a landmark technique.

ULTRASOUND

Description:

The children who underwent circumcision received sedation (in spontaneous breathing) plus ultrasound-guided dorsal penis nerve block.

Treatment:

Procedure: Ultrasound-guided dorsal penile nerve block