Document Detail

Dorsal penile nerve block during newborn circumcision: underutilization of a proven technique?
MedLine Citation:
PMID:  2378256     Owner:  NLM     Status:  MEDLINE    
Newborn circumcision is the most common surgical procedure in the United States. The technique for local anesthesia, dorsal penile nerve block (DPNB), was first described in 1978. Although multiple subsequent studies have reported that DPNB can relieve pain and stress during a newborn's circumcision without any additional morbidity, many practitioners do not employ this technique. A survey of randomly selected active members of the Oregon Academy of Family Physicians evaluated their perception and use of DPNB. One hundred members were contacted, and 96 responded. Only 36 percent of those physicians performing circumcision used DPNB in circumcisions. The most common reasons given for not employing DPNB were a lack of awareness of the technique (31 percent), believing that pain response in circumcision was not significant (29 percent), and concern about risks (27 percent). The median effectiveness rate reported by those using the block was 70 percent. The majority of respondents were interested in the results of the survey as well as in more information regarding the technique. We believe further educational efforts are indicated to increase awareness and use of DPNB in performing circumcisions in the newborn. Because there is significant variation in the effect achieved, some instruction in appropriate technique also is needed as part of this educational effort.
W L Toffler; A E Sinclair; K A White
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of the American Board of Family Practice / American Board of Family Practice     Volume:  3     ISSN:  0893-8652     ISO Abbreviation:  J Am Board Fam Pract     Publication Date:    1990 Jul-Sep
Date Detail:
Created Date:  1990-09-05     Completed Date:  1990-09-05     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8807505     Medline TA:  J Am Board Fam Pract     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  171-4     Citation Subset:  IM    
Department of Family Medicine, Oregon Health Sciences University, Portland 97201.
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MeSH Terms
Circumcision, Male*
Family Practice / methods,  standards*
Infant, Newborn
Nerve Block / methods,  utilization*
Penis / innervation*
Physician's Practice Patterns*
Random Allocation
Comment In:
J Am Board Fam Pract. 1991 Jan-Feb;4(1):66-7   [PMID:  1996516 ]
J Am Board Fam Pract. 1990 Oct-Dec;3(4):312-3   [PMID:  2248099 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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