Loss of anatomical landmarks with eutectic mixture of local anesthetic cream for neonatal male circumcision.

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

Journal of pediatric urology 2013 Feb

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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. Copyright © 2012 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.

Citation

Rebeca M Plank, David W Kubiak, Rasak Bamidele Abdullahi, Nnamdi Ndubuka, Maggie M Nkgau, Fredrick Dapaah-Siakwan, Kathleen M Powis, Shahin Lockman. Loss of anatomical landmarks with eutectic mixture of local anesthetic cream for neonatal male circumcision. Journal of pediatric urology. 2013 Feb;9(1):e86-90