Ambulatory Pediatrics
Volume 6, Issue 4 , Pages 210-214 , 1 July 2006

Pain Relief for Neonatal Circumcision: A Follow-up of Residency Training Practices

  • Daniel Yawman, MD, MPH

      Affiliations

    • Department of Pediatrics, University of Rochester, School of Medicine and Dentistry and Golisano Children’s Hospital at Strong, Rochester, NY
    • Department of Pediatrics, Rochester General Hospital, Rochester, NY
    • Corresponding Author InformationAddress correspondence to Daniel Yawman, MD, MPH, Rochester General Hospital, Department of Pediatrics, Suite 300 MOB, 1425 Portland Avenue, Rochester, NY 14621-3095.
  • ,
  • Cynthia R. Howard, MD, MPH

      Affiliations

    • Department of Pediatrics, University of Rochester, School of Medicine and Dentistry and Golisano Children’s Hospital at Strong, Rochester, NY
    • Department of Pediatrics, Rochester General Hospital, Rochester, NY
  • ,
  • Peggy Auinger, MS

      Affiliations

    • Department of Pediatrics, University of Rochester, School of Medicine and Dentistry and Golisano Children’s Hospital at Strong, Rochester, NY
    • Department of Pediatrics, Rochester General Hospital, Rochester, NY
  • ,
  • Lynn C. Garfunkel, MD

      Affiliations

    • Department of Pediatrics, University of Rochester, School of Medicine and Dentistry and Golisano Children’s Hospital at Strong, Rochester, NY
    • Department of Pediatrics, Rochester General Hospital, Rochester, NY
  • ,
  • Marjorie Allan, BS

      Affiliations

    • Department of Pediatrics, University of Rochester, School of Medicine and Dentistry and Golisano Children’s Hospital at Strong, Rochester, NY
  • ,
  • Michael Weitzman, MD

      Affiliations

    • Department of Pediatrics, University of Rochester, School of Medicine and Dentistry and Golisano Children’s Hospital at Strong, Rochester, NY
    • AAP Center for Child Health Research, Rochester, NY

Received 7 September 2005 ,Accepted 13 April 2006.

References 

  1. Anand KJ . Clinical importance of pain and stress in preterm neonates . Biol Neonate . 1998;73:1–9
  2. Johnston CC , Stevens BJ , Yang F , Horton L . Differential response to pain by very preterm neonates . Pain . 1995;61:471–479
  3. Anand KJ , Brown MJ , Causon RC , et al.   Can the human neonate mount an endocrine and metabolic response to surgery? . J Pediatr Surg . 1985;20:41–48
  4. Craig KD , Whitfield MF , Grunau RV , et al.   Pain in the preterm neonate (behavioural and physiological indices) . [erratum appears in Pain. 1993;54:111] Pain . 1993;52:287–299
  5. Taddio A , Katz J , Ilersich AL , Koren G . Effect of neonatal circumcision on pain response during subsequent routine vaccination . Lancet . 1997;349:599–603
  6. Taddio A , Pollock N , Gilbert-MacLeod C , et al.   Combined analgesia and local anesthesia to minimize pain during circumcision . Arch Pediatr Adolesc Med . 2000;154:620–623
  7. Butler-O’Hara M , LeMoine C , Guillet R . Analgesia for neonatal circumcision (a randomized controlled trial of EMLA cream versus dorsal penile nerve block) . Pediatrics . 1998;101:E5
  8. Holliday MA , Pinckert TL , Kiernan SC , et al.   Dorsal penile nerve block vs topical placebo for circumcision in low-birth-weight neonates . Arch Pediatr Adolesc Med . 1998;153:476–480
  9. Soh CR , Ng SB , Lim SL . Dorsal penile nerve block . Paediatr Anaesth . 2003;13:329–333
  10. Howard CR , Howard FM , Fortune K , et al.   A randomized, controlled trial of a eutectic mixture of local anesthetic cream (lidocaine and prilocaine) versus penile nerve block for pain relief during circumcision . Am J Obstet Gynecol . 1999;181:1506–1511
  11. Kirya C , Werthmann MW . Neonatal circumcision and penile dorsal nerve block–a painless procedure . J Pediatr . 1978;92:998–1000
  12. Holve RL , Bromberger PJ , Groveman HD , et al.   Regional anesthesia during newborn circumcision. Effect on infant pain response . Clin Pediatr . 1983;22:813–818
  13. DeJonge MH . Ring block for neonatal circumcision . Obstet Gynecol . 1998;92:891–892
  14. Hardwick-Smith S , Mastrobattista JM , Wallace PA , Ritchey ML . Ring block for neonatal circumcision . Obstet Gynecol . 1998;91:930–934
  15. Maxwell LG , Yaster M , Wetzel RC , Niebyl JR . Penile nerve block for newborn circumcision . Obstet Gynecol . 1987;70(3 Pt 1):415–419
  16. Lander J , Brady-Fryer B , Metcalfe JB , et al.   Comparison of ring block, dorsal penile nerve block, and topical anesthesia for neonatal circumcision (a randomized controlled trial) . JAMA . 1997;278:2157–2162
  17. Taddio A , Stevens B , Craig K , et al.   Efficacy and safety of lidocaine-prilocaine cream for pain during circumcision . N Engl J Med . 1997;336:1197–1201
  18. Choi WY , Irwin MG , Hui TW , et al.   EMLA cream versus dorsal penile nerve block for postcircumcision analgesia in children . Anesth Analg . 2003;96:396–399
  19. Kurtis PS , DeSilva HN , Bernstein BA , et al.   A comparison of the Mogen and Gomco clamps in combination with dorsal nerve penile block in minimizing the pain of neonatal circumcision . Pediatrics . 1999;103:E23
  20. Taeusch HW , Martinez AM , Partridge JC , et al.   Pain during Mogen or PlastiBell circumcision . J Perinatol . 2002;22:214–218
  21. Howard CR , Howard FM , Garfunkel LC , et al.   Neonatal circumcision and pain relief (current training practices) . Pediatrics . 1998;101:423–428
  22. Stang HJ , Snellman LW . Circumcision practice patterns in the United States . Pediatrics . 1998;101:E5
  23. American Academy of Pediatrics . Circumcision policy statement. Task Force on Circumcision . Pediatrics . 1999;103:686–693
  24. AAFP Commission on Clinical Policies and Research . Position Paper on Neonatal CircumcisionM . Leawood, Kansas: American Academy of Family Physicians; 2002;
  25. ACOG committee opinion #206: circumcision. Obstet Gynecol. 2001;98:707–708.
  26. Accreditation Council for Graduate Medical Education. Available at: http://www.acgme.org/acwebsite/home/home.asp. Accessed February 21, 2006.
  27. Joint Commission on Accreditation of Healthcare Organizations. Available at: http://www.jcaho.org. Accessed February 21, 2006.
  28. Wellington N , Rieder MJ . Attitudes and practices regarding analgesia for newborn circumcision . Pediatrics . 1993;92:541–543
  29. Chandran L , Latorre P . Neonatal circumcision performed by pediatric residents (implementation of a training program) . Ambul Pediatr . 2002;2:470–474

PII: S1530-1567(06)00123-7

doi: 10.1016/j.ambp.2006.04.008

Ambulatory Pediatrics
Volume 6, Issue 4 , Pages 210-214 , 1 July 2006