Management of pain in newborn circumcision: a systematic review

Conclusion: Combining local anesthesia with non-pharmacological analgesic strategies appears to be effective preventing procedural pain during MC. However, a standardized protocol for analgesia during MC is yet to be determined. Sensorial saturation appeared to help when used in conjunction with the local anesthesia techniques.What is Known:• Male circumcision is a painful procedure and it is frequently performed with inappropriate analgesic methods.• A gold standard practice in analgesia during male circumcision is still lacking and there is a great variability in the modus operandi between centers.What is New:• The combination of RB + EMLA + sucrose appears to be an analgesic strategy superior to other approaches.• We advocate for the integration of sensorial saturation during male circumcision in order to improve the efficacy of current analgesic practices.
Source: European Journal of Pediatrics - Category: Pediatrics Source Type: research