Ring block

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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 the pain if a boy is to be circumcised. Broadman et al. proposed the use of low-dose intravenious fentanyl for post-operative pain relief.[1]


Ring block is considered to be more effective than dorsal penile nerve block or EMLA cream.[2]


References

  1.   Broadman LM, Hannallah RS, Belman, AB, Elder PT, Ruttimann, U, Epstein BS. [ttps://watermark.silverchair.com/19870900.0-00019.pdf 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.
  2.   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.