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Otolaryngol Head Neck Surg. 2016 May;154(5):804-5. doi: 10.1177/0194599816636100.

Prevention and Treatment of Pain in Children: Toward a Paradigm Shift.

Author information

1
Children's Hospitals and Clinics of Minnesota, Minneapolis, Minnesota, USA University of Minnesota Medical School, Minneapolis, Minnesota, USA stefan.friedrichsdorf@childrensMN.org.
2
Children's Hospitals and Clinics of Minnesota, Minneapolis, Minnesota, USA University of Minnesota Medical School, Minneapolis, Minnesota, USA.
3
Stanford Children's Health, Stanford, California, USA Stanford University School of Medicine, Stanford, California, USA.

Abstract

Rosenfeld et al in their recent article "Office Insertion of Tympanostomy Tubes without Anesthesia in Young Children" describe using a "papoose board for restraint" while performing a procedure resulting in severe pain for a significant number of children: a myringotomy and tube insertion. In 2016, it is inappropriate to perform elective painful procedures in children without treatment to avoid or minimize pain. We strongly disagree with the authors' conclusion "that office insertion of tubes in young children is a feasible alternative to general anesthesia for caregivers and clinicians who are comfortable with this choice."

KEYWORDS:

analgesia; myringotomy; pain; papoose board; pediatric; restraint; tympanostomy

PMID:
27130944
DOI:
10.1177/0194599816636100
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