An evidence-based multidisciplinary protocol for neonatal circumcision pain management.
Pain experienced in infancy may have effects later in life. Neonatal circumcision is a common painful procedure. In addition to dorsal penile nerve block, interventions that may have a role in minimizing pain and distress in neonatal circumcision include use of a sucrose pacifier, buffered lidocaine, small needles, acetaminophen, swaddling, and environmental modification. The evidence for each intervention is presented and evaluated. Implementation of a comprehensive evidence-based circumcision pain control standard of practice is discussed.
Geyer
Janet
J
Children's Hospital of Iowa, University of Iowa Hospitals and Clinics, Iowa City 52242-1009, USA. janet-geyer@uiowa.edu
Ellsbury
Dan
D
Kleiber
Charmaine
C
Litwiller
Denise
D
Hinton
Almira
A
Yankowitz
Jerome
J
D002944:Circumcision, Male / Q000009:adverse effects* / Q000451:nursing*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D010146:Pain / Q000209:etiology; D059408:Pain Management; D017410:Practice Guidelines as Topic