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. 2021 Oct 1;15(10):e01527.
doi: 10.1213/XAA.0000000000001527.

Minimally Invasive Anesthesia in Pediatric Circumcision: A Case Series

Mark S Teen  1   2 , Seung Mi Oh  1 , Galila Flatow  1 , Daniel E Ramirez Parga  2 , Roshan S Patel  1   2
Affiliations

Minimally Invasive Anesthesia in Pediatric Circumcision: A Case Series

Mark S Teen et al. A A Pract. .

Abstract

Anesthetic management of pediatric circumcisions typically involves intravenous access and advanced airway management. We explored the use of a minimally invasive anesthetic protocol for pediatric circumcisions akin to the anesthetic management for bilateral myringotomy and tympanostomy. Five pediatric circumcisions were performed under mask ventilation without intravenous access and evaluated for intraoperative anesthesia times, patient outcomes, and complications. The mean (standard deviation) intraoperative anesthesia time was 41.4 (5.7) minutes, and 1 patient experienced a mild intraoperative complication with emesis at induction. Pediatric circumcisions can be efficiently and safely performed with minimally invasive anesthesia.

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Conflict of interest statement

The authors declare no conflicts of interest.

References

    1. Altaş C, Küçükosman G, Yurtlu BS, et al. Anesthesia methods used by anesthetic specialists for circumcision cases. National survey study for Turkey. Saudi Med J. 2017;38:75–81.
    1. Galinkin JL, Fazi LM, Cuy RM, et al. Use of intranasal fentanyl in children undergoing myringotomy and tube placement during halothane and sevoflurane anesthesia. Anesthesiology. 2000;93:1378–1383.
    1. Elemen L, Seyidov TH, Tugay M. The advantages of cyanoacrylate wound closure in circumcision. Pediatr Surg Int. 2011;27:879–883.
    1. Tiwari P, Tiwari A, Kumar S, et al. Sutureless circumcision - an Indian experience. Indian J Urol. 2011;27:475–478.
    1. Haupert MS, Pascual C, Mohan A, Bartecka-Skrzypek B, Zestos MM. Parental satisfaction with anesthesia without intravenous access for myringotomy. Arch Otolaryngol Head Neck Surg. 2004;130:1025–1028.

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