Dorsal penile nerve block during newborn circumcision

underutilization of a proven technique?

William Toffler, A. E. Sinclair, K. A. White

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Newborn circumcision is the most common surgical procedure in the United States. The technique for local anesthesia, dorsal penile nerve block (DPNB), was first described in 1978. Although multiple subsequent studies have reported that DPNB can relieve pain and stress during a newborn's circumcision without any additional morbidity, many practitioners do not employ this technique. A survey of randomly selected active members of the Oregon Academy of Family Physicians evaluated their perception and use of DPNB. One hundred members were contacted, and 96 responded. Only 36 percent of those physicians performing circumcision used DPNB in circumcisions. The most common reasons given for not employing DPNB were a lack of awareness of the technique (31 percent), believing that pain response in circumcision was not significant (29 percent), and concern about risks (27 percent). The median effectiveness rate reported by those using the block was 70 percent. The majority of respondents were interested in the results of the survey as well as in more information regarding the technique. We believe further educational efforts are indicated to increase awareness and use of DPNB in performing circumcisions in the newborn. Because there is significant variation in the effect achieved, some instruction in appropriate technique also is needed as part of this educational effort.

Original languageEnglish (US)
Pages (from-to)171-174
Number of pages4
JournalThe Journal of the American Board of Family Practice / American Board of Family Practice
Volume3
Issue number3
StatePublished - Jul 1990

Fingerprint

Pudendal Nerve
Nerve Block
Newborn Infant
Pain
Family Physicians
Local Anesthesia
Morbidity
Physicians
Surveys and Questionnaires

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

@article{213e71e94bc04cba891ac9bd3da4e976,
title = "Dorsal penile nerve block during newborn circumcision: underutilization of a proven technique?",
abstract = "Newborn circumcision is the most common surgical procedure in the United States. The technique for local anesthesia, dorsal penile nerve block (DPNB), was first described in 1978. Although multiple subsequent studies have reported that DPNB can relieve pain and stress during a newborn's circumcision without any additional morbidity, many practitioners do not employ this technique. A survey of randomly selected active members of the Oregon Academy of Family Physicians evaluated their perception and use of DPNB. One hundred members were contacted, and 96 responded. Only 36 percent of those physicians performing circumcision used DPNB in circumcisions. The most common reasons given for not employing DPNB were a lack of awareness of the technique (31 percent), believing that pain response in circumcision was not significant (29 percent), and concern about risks (27 percent). The median effectiveness rate reported by those using the block was 70 percent. The majority of respondents were interested in the results of the survey as well as in more information regarding the technique. We believe further educational efforts are indicated to increase awareness and use of DPNB in performing circumcisions in the newborn. Because there is significant variation in the effect achieved, some instruction in appropriate technique also is needed as part of this educational effort.",
author = "William Toffler and Sinclair, {A. E.} and White, {K. A.}",
year = "1990",
month = "7",
language = "English (US)",
volume = "3",
pages = "171--174",
journal = "Journal of the American Board of Family Medicine",
issn = "1557-2625",
publisher = "American Board of Family Medicine",
number = "3",

}

TY - JOUR

T1 - Dorsal penile nerve block during newborn circumcision

T2 - underutilization of a proven technique?

AU - Toffler, William

AU - Sinclair, A. E.

AU - White, K. A.

PY - 1990/7

Y1 - 1990/7

N2 - Newborn circumcision is the most common surgical procedure in the United States. The technique for local anesthesia, dorsal penile nerve block (DPNB), was first described in 1978. Although multiple subsequent studies have reported that DPNB can relieve pain and stress during a newborn's circumcision without any additional morbidity, many practitioners do not employ this technique. A survey of randomly selected active members of the Oregon Academy of Family Physicians evaluated their perception and use of DPNB. One hundred members were contacted, and 96 responded. Only 36 percent of those physicians performing circumcision used DPNB in circumcisions. The most common reasons given for not employing DPNB were a lack of awareness of the technique (31 percent), believing that pain response in circumcision was not significant (29 percent), and concern about risks (27 percent). The median effectiveness rate reported by those using the block was 70 percent. The majority of respondents were interested in the results of the survey as well as in more information regarding the technique. We believe further educational efforts are indicated to increase awareness and use of DPNB in performing circumcisions in the newborn. Because there is significant variation in the effect achieved, some instruction in appropriate technique also is needed as part of this educational effort.

AB - Newborn circumcision is the most common surgical procedure in the United States. The technique for local anesthesia, dorsal penile nerve block (DPNB), was first described in 1978. Although multiple subsequent studies have reported that DPNB can relieve pain and stress during a newborn's circumcision without any additional morbidity, many practitioners do not employ this technique. A survey of randomly selected active members of the Oregon Academy of Family Physicians evaluated their perception and use of DPNB. One hundred members were contacted, and 96 responded. Only 36 percent of those physicians performing circumcision used DPNB in circumcisions. The most common reasons given for not employing DPNB were a lack of awareness of the technique (31 percent), believing that pain response in circumcision was not significant (29 percent), and concern about risks (27 percent). The median effectiveness rate reported by those using the block was 70 percent. The majority of respondents were interested in the results of the survey as well as in more information regarding the technique. We believe further educational efforts are indicated to increase awareness and use of DPNB in performing circumcisions in the newborn. Because there is significant variation in the effect achieved, some instruction in appropriate technique also is needed as part of this educational effort.

UR - http://www.scopus.com/inward/record.url?scp=0025454321&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0025454321&partnerID=8YFLogxK

M3 - Article

VL - 3

SP - 171

EP - 174

JO - Journal of the American Board of Family Medicine

JF - Journal of the American Board of Family Medicine

SN - 1557-2625

IS - 3

ER -