A statistically significant (p = 0.049) increase in methemoglobin (Met
Hb), which did not exceed normal values, was noted 8 h after applicati
on of 1 g of EMLA(R) (Eutectic Mixture of Local Anesthetics) to the fo
reskin of 10 normal newborns to reduce pain associated with circumcisi
on. The highest MetHb concentration observed was 3 g/l (toxic > 50 g/l
). No infant showed clinical signs of methemoglobinemia. We conclude t
hat EMLA(R) is safe to use as a local anesthetic in term neonates.