Comparison of Caudal Blockade and Dorsal Penile Nerve Block in Adjunct With Dexamethasone in Circumcision
Status:
Recruiting
Trial end date:
2024-06-01
Target enrollment:
Participant gender:
Summary
Male infant circumcision is a frequently performed, but painful procedure. A variety of
methods, both systemic and locoregional, have been developed to overcome postoperative pain
after circumcision. It has been shown that local anesthetic techniques are more effective
than opioids. Especially caudal block and dorsal penile nerve block provide adequate early
analgesia (up to 2 hours) after circumcision.
Although the postoperative analgesic effects of caudal blockade and dorsal penile nerve
block, two techniques that are commonly used in circumcision surgery in the paediatric
population, have been compared in literature, no study evaluated the postoperative analgesic
effects of the two techniques when using dexamethasone as adjuvant in both methods.
Therefore, this study aims to evaluate the analgesic effect (measured by FLACC) of caudal
blockade using levobupivacaine with IV dexamethasone versus dorsal penile nerve block using
levobupivacaine with IV dexamethasone. It is questioned whether the addition of IV
dexamethasone to the dorsal penile nerve block might shift our standard of care towards one
of the mentioned techniques.