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Abstract: A comparison of three methods of analgesia in children having day case circumcision.


McGowan PR, May H, Molnar Z, Cunliffe M.


Department of Anaesthesia, Royal Liverpool Children's Hospital NHS Trust (Alder Hey), UK.


Paediatr Anaesth. 1998;8(5):403-7.


Sixty-one children were randomized to receive one of three methods of analgesia for day case circumcision. Group 1 received a penile block, group 2 received a penile block plus diclofenac suppository and group 3 received a diclofenac suppository alone. CHEOPS pain scoring was performed in the recovery area, one h after awakening and two h after awakening. There was no difference between the groups except in the recovery area when group 3 cried more and had a higher pain score than group 2. Parental follow-up questionnaires for the subsequent two days showed no difference in measured parameters between the groups.


Paediaric Anaesthesia Analgesia Circumcision