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Chapter 43 - Anesthesia for Penile Procedures

Published online by Cambridge University Press:  30 November 2019

By
Kathleen Chen ,
Ann Ng ,
Kayla McGrath  and
Donald A. Schwartz
Edited by
Adam C. Adler ,
Arvind Chandrakantan  and
Ronald S. Litman
Adam C. Adler
Affiliation:
Texas Children's Hospital
Arvind Chandrakantan
Affiliation:
Texas Children's Hospital
Ronald S. Litman
Affiliation:
The Children's Hospital of Philadelphia
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Summary

This chapter, provides an overview for caudal and penile blocks and their application in pediatric anesthesia practice. The authors discuss the indication for caudal blocks as well as anatomic considerations, dosing, conformation of placement and safety. The alternative penile block is presented.

Keywords

Circumcisioncaudal blockepidural anesthesialocal anestheticpenile block
Type
Chapter
Information
Case Studies in Pediatric Anesthesia , pp. 184 - 188
Publisher: Cambridge University Press
Print publication year: 2019

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References

Suggested Reading

Adler, AC, Belon, CA, Guffey, DM, et al. Real-time ultrasound improves accuracy of caudal block in children. Anesth Analg. 2019;Feb 27. [Epub ahead of print]. PMID: 30829666.Google Scholar
Cyna, AM, Middleton, P. Caudal epidural block versus other methods of postoperative pain relief for circumcision in boys. Cochrane Database Syst Rev. 2008;8(4):1–38. PMID: 18843636.Google Scholar
Hong, J-Y, Han, SW, Kim, WO, Kim, EJ, Kil, HK. Effect of dexamethasone in combination with caudal analgesia on postoperative pain control in day-care paediatric orchiopexy. Br J Anaesth. 2010 July;105(4):506–10. PMID: 20659915.CrossRefGoogle ScholarPubMed
Johr, M, Berger, TM. Caudal blocks. Pediatr Anesth. 2012;22:44–50. PMID: 21824215.CrossRefGoogle ScholarPubMed
Schwartz, D, Raghunathan, K, Dunn, S, Connelly, NR. Ultrasonography and pediatric caudals. Anesth Analg. 2008;106:97–9. PMID: 18165561.CrossRefGoogle ScholarPubMed
Tsui, BC, Berde, CB. Caudal analgesia and anesthesia techniques in children. Curr Opin Anesthesiol. 2005;18:283–8. PMID: 16534352.CrossRefGoogle ScholarPubMed
Walker, BJ, Long, JB, Sathyamoorthy, M, et al. Complications in pediatric regional anesthesia: an analysis of more than 100,000 blocks from the Pediatric Regional Anesthesia Network. Anesthesiology. 2018 Jul 30. doi: 10.1097/ALN.0000000000002372. [Epub ahead of print]. PMID: 30074928.CrossRefGoogle Scholar

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