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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 colleagues1studied pain relief options for neonatal circumcision that differ greatly from those offered to adults for the same surgery. If these methods are ineffective in adults, why would they be considered efficacious in newborns who have a lower pain threshold? The Australasian Association of Paediatric Surgeons recommends deferring circumcision until adequate anesthesia can be administered.2