Ring block: Difference between revisions
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{{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>}} | {{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>}} | ||
The [[penis]] is innervated by both dorsal and perineal nerves,<ref name="cepeda2023">{{REFjournal | |||
|last=Cepeda-Emiliani | |||
|first= | |||
|init=A | |||
|author-link=Alfonso Cepeda-Emiliani | |||
|last2=Gándara-Cortés | |||
|first2= | |||
|init2=M | |||
|author2-link= | |||
|last3=Otero-Alén | |||
|first3= | |||
|init3=M | |||
|author3-link= | |||
|last4=García | |||
|first4= | |||
|init4=H | |||
|author4-link= | |||
|last5=Suárez-Quintanilla | |||
|first5= | |||
|init5=J | |||
|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 | |||
|title=Immunohistological study of the density and distribution of human penile neural tissue: gradient hypothesis | |||
|trans-title= | |||
|journal= Int J Impot Res | |||
|date=2023-05-02 | |||
|volume=35 | |||
|issue=3 | |||
|article= | |||
|page= | |||
|pages=286-305 | |||
|url=https://www.nature.com/articles/s41443-022-00561-9 | |||
|archived= | |||
|quote= | |||
|pubmedID=35501394 | |||
|pubmedCID= | |||
|DOI=10.1038/s41443-022-00561-9 | |||
|accessdate=2023-12-09 | |||
}}</ref> therefore ring block can never be totally effective. | |||
{{REF}} | {{REF}} | ||
Revision as of 12:57, 9 December 2023
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.
