A comparison of the efficacy of penile block and caudal block with bupivacaine on perioperative bleeding in circumcised children

Le résumé fourni par la source

The management of postoperative pain is a fundamental aspect of surgical care. To achieve the aforementioned result, a variety of blocks may be utilized. A review of the literature revealed no significant difference between penile block and caudal block in terms of pain management. The objective of this study was to compare two methods with respect to perioperative bleeding. With regard to the caudal block group, the caudal block was conducted by the anaesthetist using a 22G caudal needle, administering bupivacaine. In contrast, in the penile block group, the procedure was a dorsal penile nerve block with bupivacaine, performed by the surgeon. During the intraoperative period, hemodynamic parameters were recorded and the amount of bleeding was quantified. In the postoperative period, pain scales, recovery times and early complications were recorded, and family satisfaction was evaluated. The demographic and hemodynamic data were found to be comparable between the two groups. No statistically significant difference was identified between the groups with regard to pain scales. The analysis revealed no statistically significant difference between the two groups with regard to early complications. It was calculated that the risk of bleeding of 2.5 grams or more was approximately 188 times higher with the penile block method compared to the caudal block method (p<0.001). In conclusion, the results demonstrated that intraoperative bleeding was less in patients who underwent caudal block, irrespective of age and weight.

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