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2006, Number 6

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Rev Mex Pediatr 2006; 73 (6)

Topical anesthesia with and without oral midazolam in neonatal circumcision:Comparison with the dorsal penile nerve block

Rodríguez VI, Valenzuela GL, Tapia GA

Language: Spanish
References: 18
Page: 263-267
PDF size: 94.42 Kb.


ABSTRACT

Objective. To compare the topical anesthetic effect of EMLA, with or without oral midazolam vs penile nerve block (BNDP) in neonatal circumcision.
Material and methods. 30 newborns at term were aleatory assigned for circumcision in three groups: 12 with BNDP, 9 with EMLA and 9 with EMLA - midazolam. Vital signs during circumcision were studied, including pulsooximetry and a facial expression scale. Crying time percentage was recorded.
Results. There were not basal differences in the variables studied for pain during circumcision, except when the foreskin was cut: the medium and systolic blood pressure were lower in the group with EMLA-midazolam but don’t reach hypotension.
Conclusions: The use of EMLA creme, with or without midazolam, is a good topical anesthetics affect anesthetic for circumcision.


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