Pre-emptive penile ring block with sucrose analgesia reduces pain response to neonatal circumcision.

Objective: To compare retrospective use of oral sucrose (SUC) vs oral sucrose plus lidocaine ring block (SUC + RB) in the management of pain during neonatal circumcision.

Methods: A retrospective review of medical records of newborns circumcised using the "Neonatal Infant Pain Scale" was done.

Results: With regard to pain, the SUC group had a significantly greater percentage of those with pain than the SUC + RB group at 1 minute (77.

Use of an intubating stylet as a guide to complete uterine curettage complicated by uterine perforation.

Completion of uterine curettage may be challenging following uterine perforation even under sonographic and laparoscopic monitoring. This report illustrates the use of a flexible intubating stylet as a guide to place the suction curette into the uterine cavity when sonography and laparoscopy alone are not successful. Use of a malleable instrument such as an intubating stylet as a guide should be considered an option when insertion of the suction curette into the uterine cavity is complicated by anatomic variation and uterine perforation.