EVALUATION OF EMLA (EUTECTIC COMBINATION OF LOCAL ANAESTHETICS) ANAESTHETIC EFFECTIVENESS IN COMPARISON TO DORSAL PENILE NERVE BLOCK IN CIRCUMCISED INDIVIDUALS

Abstract

Background: Neonates frequently undergo objective circumcision, which is associated with severe pain that necessitates
anaesthetic. While topical medications are said to have equivalent effectiveness and lower morbidity, infiltration of local
anaesthetics for a variety of operations in newborns is linked to a number of difficulties.
Aim: The purpose of the current study was to compare the anaesthetic effectiveness of dorsal penile nerve block (DPNB) and
eutectic mixture of local anaesthetics (EMLA) in individuals having circumcision.
Methods: Two groups of 68 male newborns were split up according to the anaesthetic technique utilized prior to the
circumcision surgery at the institute. Pain evaluation during four steps—clamping, crushing, tying, and foreskin cutting—
using the Neonatal Infant Pain Scale (NIPS) was used to compare the effectiveness of anaesthetics. Additionally, heart rate,
transcutaneous change in SpO2, and preoperative and postoperative salivary cortisol levels were measured. After a day, the
subjects were evaluated for any problems.