Journal of Paediatrics and Child Health (Australia), Volume 36, Issue 4, Pages 406-407. November 2000.
Senior Lecturer, Department of Paediatrics, University of Adelaide, Women's and Children's Hospital, Adelaide, South Australia, Australia
Journal of Paediatrics and Child Health (Australia), Volume 36, Issue 4, Pages 406-407. November 2000.
Senior Lecturer, Department of Paediatrics, University of Adelaide, Women's and Children's Hospital, Adelaide, South Australia, Australia
The use of topical lignocaine/prilocaine (EMLA®, Astra Pharmaceuticals, North Ryde, NSW, Australia) for pain relief for neonatal circumcision is becoming more prevalent. Because of immaturity of the methaemoglobin reductase pathway, the neonate is vulnerable to 
methaemoglobinaemia which is a recognized complication of prilocaine therapy. This is the second report of methaemoglobinaemia due to the use of EMLA® in association with circumcision during the newborn period.
Correspondence: R Couper
Affiliations
Senior Lecturer,
Department of Paediatrics,
Women's and Children's Hospital,
University of Adelaide,
72 King William Road,
North Adelaide, South Australia 5006,
Australia.
Fax: (08) 8204 7031;
email: 
rcouper@medicine.adelaide.edu.au
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