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Pediatr Emerg Care. 2019 Jul;35(7):e124-e126. doi: 10.1097/PEC.0000000000000990.

The "Facemask Blinder": A Technique for Optimizing Anxiolysis in Children Undergoing Facial Laceration Repair.

Author information

1
Department of Child Life, New York-Presbyterian Morgan Stanley Children's Hospital, New York, NY.

Abstract

We present the case of a 7-year-old boy with a forehead laceration that required suture repair. The child was anxious and uncooperative, and the initial plan was to administer intranasal midazolam to facilitate the repair. However, a facemask blinder was first implemented as a visual barrier to block the child's view of any anxiety-provoking stimuli and appeared to improve the child's cooperation with the procedure. Intranasal midazolam was not administered, and the laceration was cleaned and repaired successfully. In conjunction with adequate local anesthesia and distraction techniques, the facemask blinder helped to facilitate the completion of the laceration repair without the need for any physical restraint or pharmacologic anxiolysis or sedation.

PMID:
27941503
DOI:
10.1097/PEC.0000000000000990
[Indexed for MEDLINE]

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