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A Comparison of Pain Scores in Neonatal Circumcision with or without Local Anesthesia in Jos, Nigeria

INTRODUCTION: Neonatal circumcisions are commonly performed in Nigeria, most often without anesthesia. The aim of this study was to determine whether anesthesia was required for neonatal circumcision. MATERIALS AND METHODS: All new-born male neonates presenting for routine circumcision were consider...

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Autores principales: Fikin, Aminu Gango, Yohanna, Stephen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7113820/
https://www.ncbi.nlm.nih.gov/pubmed/32317815
http://dx.doi.org/10.4103/nmj.NMJ_68_19
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author Fikin, Aminu Gango
Yohanna, Stephen
author_facet Fikin, Aminu Gango
Yohanna, Stephen
author_sort Fikin, Aminu Gango
collection PubMed
description INTRODUCTION: Neonatal circumcisions are commonly performed in Nigeria, most often without anesthesia. The aim of this study was to determine whether anesthesia was required for neonatal circumcision. MATERIALS AND METHODS: All new-born male neonates presenting for routine circumcision were considered for inclusion in the study. This was a randomized control study, comparing pain scores during circumcision with local anesthesia or without local anesthesia. A total of 72 neonates were randomly assigned to the two groups using computer-generated random numbers, with 36 in each group. The neonates were not matched for age or weight. All the anesthetic procedures and circumcisions were performed in identical manner by the principal investigators using the plastic bell technique. Approval for the study was obtained from the Research Ethics Committee of the hospital. Written voluntary informed consent was obtained from the parents of the neonates. RESULTS: The mean age and weight of the neonates in the study were 17 ± 2 days and 3.2 ± 0.68 kg, respectively. The mean Neonatal/Infant pain score was 4.8 in the local anesthesia group and 6.0 in those without anesthesia. The mean transcutaneous PO(2) was 90.47 ± 7.53 in those with anesthesia compared to 85.83 ± 5.61 in those without anesthesia. The mean heart rate was 133.88 ± 35.00 beats/min in the anesthesia group compared to 152.11 ± 79.80 in those without anesthesia. Neonates circumcised without local anesthesia had higher respiratory rate compared to those circumcised with local anesthesia. CONCLUSION: Neonates circumcised without local anesthesia had higher mean pain scores, heart rate, lower oxygen saturation and increased mean respiratory rate than those that had local anesthesia. Local anesthesia should be routinely used during neonatal circumcision.
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spelling pubmed-71138202020-04-21 A Comparison of Pain Scores in Neonatal Circumcision with or without Local Anesthesia in Jos, Nigeria Fikin, Aminu Gango Yohanna, Stephen Niger Med J Original Article INTRODUCTION: Neonatal circumcisions are commonly performed in Nigeria, most often without anesthesia. The aim of this study was to determine whether anesthesia was required for neonatal circumcision. MATERIALS AND METHODS: All new-born male neonates presenting for routine circumcision were considered for inclusion in the study. This was a randomized control study, comparing pain scores during circumcision with local anesthesia or without local anesthesia. A total of 72 neonates were randomly assigned to the two groups using computer-generated random numbers, with 36 in each group. The neonates were not matched for age or weight. All the anesthetic procedures and circumcisions were performed in identical manner by the principal investigators using the plastic bell technique. Approval for the study was obtained from the Research Ethics Committee of the hospital. Written voluntary informed consent was obtained from the parents of the neonates. RESULTS: The mean age and weight of the neonates in the study were 17 ± 2 days and 3.2 ± 0.68 kg, respectively. The mean Neonatal/Infant pain score was 4.8 in the local anesthesia group and 6.0 in those without anesthesia. The mean transcutaneous PO(2) was 90.47 ± 7.53 in those with anesthesia compared to 85.83 ± 5.61 in those without anesthesia. The mean heart rate was 133.88 ± 35.00 beats/min in the anesthesia group compared to 152.11 ± 79.80 in those without anesthesia. Neonates circumcised without local anesthesia had higher respiratory rate compared to those circumcised with local anesthesia. CONCLUSION: Neonates circumcised without local anesthesia had higher mean pain scores, heart rate, lower oxygen saturation and increased mean respiratory rate than those that had local anesthesia. Local anesthesia should be routinely used during neonatal circumcision. Wolters Kluwer - Medknow 2020 2020-03-02 /pmc/articles/PMC7113820/ /pubmed/32317815 http://dx.doi.org/10.4103/nmj.NMJ_68_19 Text en Copyright: © 2020 Nigerian Medical Journal http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Fikin, Aminu Gango
Yohanna, Stephen
A Comparison of Pain Scores in Neonatal Circumcision with or without Local Anesthesia in Jos, Nigeria
title A Comparison of Pain Scores in Neonatal Circumcision with or without Local Anesthesia in Jos, Nigeria
title_full A Comparison of Pain Scores in Neonatal Circumcision with or without Local Anesthesia in Jos, Nigeria
title_fullStr A Comparison of Pain Scores in Neonatal Circumcision with or without Local Anesthesia in Jos, Nigeria
title_full_unstemmed A Comparison of Pain Scores in Neonatal Circumcision with or without Local Anesthesia in Jos, Nigeria
title_short A Comparison of Pain Scores in Neonatal Circumcision with or without Local Anesthesia in Jos, Nigeria
title_sort comparison of pain scores in neonatal circumcision with or without local anesthesia in jos, nigeria
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7113820/
https://www.ncbi.nlm.nih.gov/pubmed/32317815
http://dx.doi.org/10.4103/nmj.NMJ_68_19
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