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

Stefan J. Friedrichsdorf; James D Sidman; Elliot J. Krane

doi:10.1177/0194599816636100

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

Stefan J. Friedrichsdorf, James D Sidman, Elliot J. Krane

Otolaryngology

Research output: Contribution to journal › Short survey › peer-review

9 Scopus citations

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."

Original language	English (US)
Pages (from-to)	804-805
Number of pages	2
Journal	Otolaryngology - Head and Neck Surgery (United States)
Volume	154
Issue number	5
DOIs	https://doi.org/10.1177/0194599816636100
State	Published - May 2016

Bibliographical note

Publisher Copyright:
© American Academy of Otolaryngology-Head and Neck Surgery Foundation 2016.

Keywords

analgesia
myringotomy
pain
papoose board
pediatric
restraint
tympanostomy

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title = "Prevention and Treatment of Pain in Children: Toward a Paradigm Shift",

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AU - Sidman, James D

AU - Krane, Elliot J.

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PY - 2016/5

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AB - 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."

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KW - tympanostomy

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

Abstract

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Keywords

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