MCQ Pediatrics Answer 35
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The only option listed that is contraindicated for circumcision is lidocaine with epinephrine. Epinephrine should NEVER be used in a local anesthetic for penile blocks because the penile artery is an end artery, and vasospasm can lead to necrosis of the penile tip. An old adage reminds physicians not to use Epinephrine in the following areas: “fingers, nose, penis, toes”.
Ref: Wilder RT: Local anesthetics for the pediatric patient. Pediatr Clin North Am 2000; 47(3):545-558. (ABFP 2002)
Tags: MCQ, Pediatrics, Circumcision, Aneasthesia
Category: Pediatrics MCQs
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