Loss of Anatomical Landmarks with Eutectic Mixture of Local Anesthetic Cream for Neonatal Male Circumcision

Plank, Rebeca M.; Kubiak, David W.; Abdullahi, Rasak Bamidele; Ndubuka, Nnamdi; Nkgau, Maggie M.; Dapaah-Siakwan, Fredrick; Powis, Kathleen M.; Lockman, Shahin

doi:10.1016/j.jpurol.2012.09.013

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Loss of Anatomical Landmarks with Eutectic Mixture of Local Anesthetic Cream for Neonatal Male Circumcision

Oct 24 2012
By Plank, Rebeca M. ; Kubiak, David W. ; Abdullahi, Rasak Bamidele ; ...
http://dx.doi.org/10.1016/j.jpurol.2012.09.013
Source: J Pediatr Urol. 2012; 9(1):e86-e90.

[PDF-579.85 KB]

English

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Details:

Alternative Title:

J Pediatr Urol
Personal Author:

Plank, Rebeca M. ; Kubiak, David W. ; Abdullahi, Rasak Bamidele ; Ndubuka, Nnamdi ; Nkgau, Maggie M. ; ... More +

Plank, Rebeca M. ; Kubiak, David W. ; Abdullahi, Rasak Bamidele ; Ndubuka, Nnamdi ; Nkgau, Maggie M. ; Dapaah-Siakwan, Fredrick ; Powis, Kathleen M. ; Lockman, Shahin Less -
Description:

We report two cases of newborns who developed marked local edema after application of a eutectic mixture of local anesthetic (EMLA) topical anesthetic cream for neonatal male circumcision (NMC). Although local edema and erythema are known potential side effects of EMLA cream, a common anesthetic used for NMC, the loss of landmarks precluding safe NMC has not previously been reported, and is described here. Although we cannot recommend an alternate local anesthetic for neonates with this reaction to EMLA, based on a review of the published data we think that serious systemic adverse events related to EMLA are extremely rare.
Subjects:

[+]

Administration, Topical Anatomic Landmarks Circumcision, Male Edema Foreskin Humans Infant, Newborn Lidocaine Male Prilocaine Skin Cream
Source:

J Pediatr Urol. 2012; 9(1):e86-e90.
Pubmed ID:

23102766
Pubmed Central ID:

PMC3568457
Document Type:

Journal Article
Funding:

K23 AI084579/AI/NIAID NIH HHS/United States ; K23 HD070774/HD/NICHD NIH HHS/United States ; U2G PS000941/PS/NCHHSTP CDC HHS/United States ; 5K23AI084579/AI/NIAID NIH HHS/United States

K23 AI084579/AI/NIAID NIH HHS/United States ; K23 HD070774/HD/NICHD NIH HHS/United States ; U2G PS000941/PS/NCHHSTP CDC HHS/United States ; 5K23AI084579/AI/NIAID NIH HHS/United States Less -
Volume:

9
Issue:

1
Collection(s):

CDC Public Access
Main Document Checksum:

[+]

urn:sha256:508ae94d323279c468db53a02e013418edaeb42eb8ee5b66801c33add7c5a303
Download URL:

https://stacks.cdc.gov/view/cdc/41877/cdc_41877_DS1.pdf
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