Comparison of dorsal penile block and caudal block with bupivacaine and oral ibuprofen in children undergoing circumcision [Sünnet olan çocuklarda bupivakain ile dorsal penil blok kaudal blok ve oral ibuprofen'in etkinliʇinin karşilaştirilmasi]

Objective: in this study,we evaluated the postcircumcision analgesic efficacy and adverse effect profile of caudal block,dorsal penil block with bupivacaine and oral ibuprofen in pediatric patients. method: ninety boys,between ages of 2-7 years undergoing circumcision,were enrolled in the study. the patients were divided into three groups: group k (n=30),group d (n=30) and group i(n=30) were applied caudal block,dorsal penile block and oral ibuprofen respectively. in caudal block group,anesthesiologist performed caudal block of i ml kg-10.25% bupivacaine with 22 g caudal needle and in dorsal penile block group,the surgeon performed penile block of 0.3 ml kg-10.3% bupivacaine with 23 g needle. in ibuprofen group,preoperative oral 10 mg kg-1 ibuprofen was administered. postoperative modified pediatric objective pain scale (mpops) at the post anesthetic care unit at 1st,4th,8th,12th and 24th hours,time to first analgesic request,total paracetamol consumption were recorded. complications and family satisfaction were questioned. results: demographic data were similar in groups. at the first hour pain score in group k was better than group i and group d (p=0.002). after the first hour there was no difference between the groups in terms of pain scores (p > 0.05). time to first analgesic request was longer in group k (p= 0.001). the amount of the total paracetamol consumption was similar between groups (p = 0.967). there was no difference between the groups in terms of complications (p = 0.266). conclusion: for pain control in circumcision although caudal block with bupivacaine seems more adventageous for the first hour; effective pain control was provided with dorsal penile block,caudal block made with bupivacaine and oral ibuprofen.