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Ring Block Improves Analgesia For Newborn Circumcision
Ring Block Improves Analgesia For Newborn Circumcision
https://www.medscape.com/viewarticle/888809 1/7
6/8/2018 Ring Block Improves Analgesia for Newborn Circumcision
Dr. M Fawzy
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6/8/2018 Ring Block Improves Analgesia for Newborn Circumcision
https://www.medscape.com/viewarticle/888809 3/7
6/8/2018 Ring Block Improves Analgesia for Newborn Circumcision
https://www.medscape.com/viewarticle/888809 4/7
6/8/2018 Ring Block Improves Analgesia for Newborn Circumcision
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6 Read Comments
Adding ring block to a local anesthetic cream and sucrose improves pain
relief for newborns being circumcised, according to a study published online
today in Pediatrics.
"Despite our findings and those in the extensive literature about the
effectiveness and safety of different analgesic approaches for circumcision
and pain management,
https://www.medscape.com/viewarticle/888809 5/7
6/8/2018 Ring Block Improves Analgesia for Newborn Circumcision
Video images of each infant's face and torso during the procedure provided
information on facial expression, crying time and intensity, breathing patterns,
arm movements, and state of arousal, which are all part of the Neonatal Infant
Pain Scale (NIPS). Nurses blinded to treatment group observed the patients
hourly for the first 4 hours after the procedure and used the NIPS.
The extent of pain according to the scale differed significantly among the
groups: for EMLA and sucrose, 3.1 (standard deviation [SD], 1.33); for EMLA,
sucrose, and DPNB, 3 (SD, 1.33); for EMLA, sucrose, and RB, 2.45 (SD,
1.27); and EMLA alone, 5.50 (SD, 0.53). Breakdown of the procedure into
four time intervals also revealed the group with ring block to experience the
least pain, particularly during the most painful stage, lysis of adhesions
between the foreskin and the glans. The 10 infants in the control group who
received only EMLA cream experienced the most intense pain, ranging from
3.80 to 5.90 on the scale.
Heart rate and crying time were also significantly less in the intervention
group than in the control group, with heart rate ranging from 139 to 163
beats/min and crying time from 5.78 to 45.37 seconds. However, oxygen
saturation during the procedure and postoperative NIPS did not differ.
6 Read Comments
Cite this article: Ring Block Improves Analgesia for Newborn Circumcision - Medscape - Nov 17, 2017.
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