Copyright 1998 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.1998
To the Editor.—Dr Lander and colleagues1have shown once again the value and safety of anesthesia
for neonatal circumcision. In this study, local infiltration ring block or
dorsal penile nerve block resulted in less heart rate elevation and less crying
during the circumcision procedure. Outcome measures said to have been investigated
included heart rate, respiratory rate, oxygen saturation, palmar sweat, sleep-wake
states, crying, motor responses, and methemoglobin level. Only heart rate,
crying, and methemoglobin levels were reported, and the reader assumes that
no significant changes were found in the remaining parameters.
Horger III EO, Arnett RM, Jones JS. Local Anesthesia for Infants Undergoing Circumcision. JAMA. 1998;279(15):1169–1171. doi:10.1001/jama.279.15.1169
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