This Article  • Full text  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Contact me when this article is cited  Related Content  • Similar articles in this journal

Arch Pediatr Adolesc Med. 2000;154:1275.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Dr Taddio's previous financial relationship with AstraZeneca LP (Westborough, Mass), the manufacturer of EMLA (eutectic mixture of local anesthetics) cream topical anesthetic,¹ was not mentioned in the article by Taddio et al² in the June 2000 issue of the ARCHIVES. In fact, many issues were left untouched in the end.

The failure to provide a noncircumcised control group is one of several methodological flaws in the study.³ Taddio et al² also do not provide a reliable indication of reduction of adrenocortical activity. Gunnar et al⁴ have documented that reduction of crying by sucking is not a reliable indicator of stress and trauma; sucking reduces crying but does not reduce serum cortisol levels. Lander et al⁵ have documented that ring block and dorsal penile nerve block are both more effective than EMLA cream. Taddio et al² have failed to demonstrate that their proposed method is more effective than these options.

The . . . [Full Text of this Article]