Methaemoglobinaemia secondary to topical lignocaine/prilocaine in a circumcised neonate

被引:33
作者
Couper, RTL [1 ]
机构
[1] Univ Adelaide, Womens & Childrens Hosp, Dept Paediat, Adelaide, SA, Australia
关键词
circumcision; lignocaine; methaemoglobinaemia; prilocaine;
D O I
10.1046/j.1440-1754.2000.00508.x
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
The use of topical lignocaine/prilocaine (EMLA(R), 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(R) in associateion with circumcision during the newborn period.
引用
收藏
页码:406 / 407
页数:2
相关论文
共 9 条
[1]  
Elsner P, 1997, DERMATOLOGY, V195, P153
[2]   DRUG-INDUCED AND CHEMICAL-INDUCED METHEMOGLOBINEMIA - CLINICAL-FEATURES AND MANAGEMENT [J].
HALL, AH ;
KULIG, KW ;
RUMACK, BH .
MEDICAL TOXICOLOGY AND ADVERSE DRUG EXPERIENCE, 1986, 1 (04) :253-260
[3]   METHEMOGLOBINEMIA ASSOCIATED WITH A PRILOCAINE-LIDOCAINE CREAM AND TRIMETOPRIM-SULFAMETHOXAZOLE - A CASE-REPORT [J].
JAKOBSON, B ;
NILSSON, A .
ACTA ANAESTHESIOLOGICA SCANDINAVICA, 1985, 29 (04) :453-455
[4]   Methemoglobinemia associated with a Prilocaine-Lidocaine cream [J].
Kumar, AR ;
Dunn, N ;
Naqvi, M .
CLINICAL PEDIATRICS, 1997, 36 (04) :239-240
[5]   METHEMOGLOBINEMIA ASSOCIATED WITH LIDOCAINE-PRILOCAINE CREAM (EMLA) IN A PREMATURE-INFANT [J].
NIOLOUX, C ;
FLOCHTUDAL, C ;
JABYSERGENT, MP ;
LEJEUNE, C .
ARCHIVES DE PEDIATRIE, 1995, 2 (03) :291-292
[6]   Circumcision blues [J].
Prineas, S ;
Wilkins, BH ;
Halliday, RJ .
MEDICAL JOURNAL OF AUSTRALIA, 1997, 166 (11) :615-615
[7]   Effect of neonatal circumcision on pain response during subsequent routine vaccination [J].
Taddio, A ;
Katz, J ;
Ilersich, AL ;
Koren, G .
LANCET, 1997, 349 (9052) :599-603
[8]   A systematic review of lidocaine-prilocaine cream (EMLA) in the treatment of acute pain in neonates [J].
Taddio, A ;
Ohlsson, A ;
Einarson, TR ;
Stevens, B ;
Koren, G .
PEDIATRICS, 1998, 101 (02)
[9]   Efficacy and safety of lidocaine-prilocaine cream for pain during circumcision [J].
Taddio, A ;
Stevens, B ;
Craig, K ;
Rastogi, P ;
BenDavid, S ;
Shennan, A ;
Mulligan, P ;
Koren, G .
NEW ENGLAND JOURNAL OF MEDICINE, 1997, 336 (17) :1197-1201