Ring block: Difference between revisions
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}}</ref> | }}</ref> | ||
Ring block is considered to be more effective than [[dorsal penile nerve block]] or [[EMLA]] cream.<ref name="lander1997">{{REFjournal | Ring block is considered to be more effective than [[dorsal penile nerve block]] or [[EMLA]] cream.<ref name="lander1997">{{LanderJ etal 1997}}</ref> | ||
|last= | |||
| | {{Box|Boxtext=<big><b>This procedure does NOT totally eliminate [[pain]]. A baby boy will still experience some [[pain]] and [[trauma]] with this analgesic procedure. Prevention of pain requires protecting a boy from elective neonatal non-therapeutic circumcision. Only boys who are protected from the medically unnecessary, non-therapeutic circumcision surgery experience no [[pain]] or [[trauma]].</b></big>}} | ||
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|author-link= | The [[penis]] is innervated by both dorsal and perineal nerves,<ref name="cepeda2023">{{REFjournal | ||
|last2= | |last=Cepeda-Emiliani | ||
| | |first= | ||
| | |init=A | ||
|author-link=Alfonso Cepeda-Emiliani | |||
|last2=Gándara-Cortés | |||
|first2= | |||
|init2=M | |||
|author2-link= | |author2-link= | ||
|last3= | |last3=Otero-Alén | ||
| | |first3= | ||
| | |init3=M | ||
|author3-link= | |author3-link= | ||
|last4= | |last4=García | ||
| | |first4= | ||
| | |init4=H | ||
|author4-link= | |author4-link= | ||
|last5= | |last5=Suárez-Quintanilla | ||
| | |first5= | ||
| | |init5=J | ||
|author5-link= | |author5-link= | ||
|last6=García-Caballero | |||
|first6= | |||
|init6=T | |||
|author6-link= | |||
|last7=Gallego | |||
|first7= | |||
|init7=R | |||
|author7-link= | |||
|last8=García-Caballero | |||
|first8= | |||
|init8=R | |||
|author8-link= | |||
|etal=no | |etal=no | ||
|title= | |title=Immunohistological study of the density and distribution of human penile neural tissue: gradient hypothesis | ||
| | |trans-title= | ||
| | |journal= Int J Impot Res | ||
|date= | |date=2023-05-02 | ||
|volume= | |volume=35 | ||
|issue= | |issue=3 | ||
|pages= | |article= | ||
|url= | |page= | ||
|pages=286-305 | |||
|url=https://www.nature.com/articles/s41443-022-00561-9 | |||
|archived= | |archived= | ||
|quote= | |quote= | ||
|pubmedID= | |pubmedID=35501394 | ||
|pubmedCID= | |pubmedCID= | ||
|DOI= | |DOI=10.1038/s41443-022-00561-9 | ||
|accessdate=2023- | |accessdate=2023-12-09 | ||
}}</ref> | }}</ref> therefore ring block can never be totally effective. | ||
{{REF}} | {{REF}} | ||
Latest revision as of 10:16, 9 March 2024
Ring block is the name of a nerve blocking local anesthesia procedure that is used to reduce the pain of non-therapeutic neonatal circumcision.
Ring block was proposed by Broadman et al. (1987) to reduce, not eliminate, the pain if a boy is to be circumcised. Broadman et al. also proposed the use of low-dose intravenous fentanyl for post-operative pain relief.[1]
Ring block is considered to be more effective than dorsal penile nerve block or EMLA cream.[2]
This procedure does NOT totally eliminate pain. A baby boy will still experience some pain and trauma with this analgesic procedure. Prevention of pain requires protecting a boy from elective neonatal non-therapeutic circumcision. Only boys who are protected from the medically unnecessary, non-therapeutic circumcision surgery experience no pain or trauma.
The penis is innervated by both dorsal and perineal nerves,[3] therefore ring block can never be totally effective.
References
- ↑
Broadman LM, Hannallah RS, Belman, AB, Elder PT, Ruttimann, U, Epstein BS. Post-circumcision analgesia—a prospective evaluation of subcutaneous ring block of the penis 
. Anesthesiology. September 1987; 67(3): 399-402. PMID. DOI. Retrieved 25 November 2023.
- ↑ Lander J, Brady-Frerer B, Metcalfe JB, Nazerali S, Muttit S. Comparison of ring block, dorsal penile nerve block, and topical anesthesia for neonatal circumcision. JAMA. 24 December 1997; 278(24): 2157-64. PMID. Retrieved 24 November 2023.
- ↑ Cepeda-Emiliani A, Gándara-Cortés M, Otero-Alén M, García H, Suárez-Quintanilla J, García-Caballero T, Gallego R, García-Caballero R. Immunohistological study of the density and distribution of human penile neural tissue: gradient hypothesis. Int J Impot Res. 2 May 2023; 35(3): 286-305. PMID. DOI. Retrieved 9 December 2023.
