Clinical Pediatrics

 

Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Click here for free access to the SAGE eReference platform!

Sign In to gain access to subscriptions and/or personal tools.
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Holve, R. L.
Right arrow Articles by Snyder, J. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Holve, R. L.
Right arrow Articles by Snyder, J. M.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?
Clinical Pediatrics, Vol. 22, No. 12, 813-818 (1983)
DOI: 10.1177/000992288302201205

Regional Anesthesia During Newborn Circumcision

Effect on Infant Pain Response

Richard L. Holve, MD

Patricia J. Bromberger, MD

Howard D. Groveman, MD

Melville R. Klauber, PhD

Suzanne D. Dixon, MD

Joel M. Snyder, MD

A controlled, double-blind investigation was undertaken to determine whether regional anesthesia by dorsal penile nerve block (DPNB) could effectively minimize the pain and behavioral disruptions usually associated with newborn circumcision. Fifteen infants had DPNB with lidocaine, eight control infants had DPNB with saline, and eight additional control infants were circumcised without undergoing DPNB. Newborn distress was gauged by subjective observation, measurement of heart rate, and the percent of time spent crying in six sequential timed intervals during cir cumcision. Ninety-three percent of subjects who received lidocaine were observed to have a decrease in agitation after anesthetic administration. The mean increase in heart rate during circumcision was at least 50 percent less in the lidocaine injected group than in either control group (p < 0.01). Infants who had DPNB with lidocaine cried 50 percent less during circumcision compared to combined controls (p < 0.01). DPNB was easily administered, and there were no significant complications. Physicians who circumcise newborns have good reason to employ the technique of dorsal penile nerve block with lidocaine to minimize infant pain and distress.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 PediatricsHome page
P. J. Sharek, R. Powers, A. Koehn, and K. J.S. Anand
Evaluation and Development of Potentially Better Practices to Improve Pain Management of Neonates
Pediatrics, November 1, 2006; 118(Supplement_2): S78 - S86.
[Abstract] [Full Text] [PDF]

Home page
 CLIN PEDIATRHome page
E. J. Schoen and A. A. Fischell
Pain in Neonatal Circumcision
Clinical Pediatrics, July 1, 1991; 30(7): 429 - 432.
[Abstract] [PDF]