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April 15, 1998

Local Anesthesia for Infants Undergoing Circumcision

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

To the Editor.—Dr Lander and colleagues1have corroborated earlier work documenting that significant pain is experienced during neonatal circumcision, especially when performed without anesthetic, and they are to be commended for recognizing that this pain should be considered. In recommending that anesthetic should be administered during the neonatal period, the authors have failed, however, to note that the pain of circumcision would be more effectively addressed and that anesthetic would be more safely administered if the operation were postponed to a later age.

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