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April 15, 1998

Local Anesthesia for Infants Undergoing Circumcision—Reply

Author Affiliations

Margaret A.WinkerMD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Senior EditorIndividualAuthor

JAMA. 1998;279(15):1169-1171. doi:10-1001/pubs.JAMA-ISSN-0098-7484-279-15-jbk0415

In Reply.—Our study compared 3 anesthetic interventions to detect their relative effectiveness for neonatal circumcision, thus providing evidence to address a recently identified question.1,2 We evaluated the authenticity of several beliefs about circumcision, neonates, and pain. We had the opportunity to observe and record apparent life-threatening events experienced by neonates who did or did not have an anesthetic. The opportunity for systematic observation is not readily available in clinical practice, and life-threatening events have often gone unreported.

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