Communication and a pleasant manner are to be praised but a 4 year old
simply does not want to know that something is going to hurt!
Worse still is to be told that something won't hurt then it does - the main
draw back of topical anaesthesia with its significant failure rate.
Communcate with the older child
Just render the younger one's senseless - in a professional way !!
JohnC
> ----------
> From: Helen Deborah Vecht[SMTP:[log in to unmask]]
> Sent: Tuesday, 25 May 1999 09:53
> To: [log in to unmask]
> Subject: Re: Suturing children
>
> I try to make sure I can communicate with the child. I always try and
> place the wound uppermost and 'fill' it with lignocaine from the
> syringe (removing the needle reduces the alarm factor) I later use
> for infiltration. This really does seem to reduce injection pain as
> does warming the ampoule and slow injection.
> I keep talking to the child.
>
> I *never* use sedation and a child that will not co-operate is referred
> for GA.
>
> I think we should be using staples for scalps more frequently.
>
>
>
> --
> Helen D. Vecht
> [log in to unmask]
> Kingsbury,
> London NW9.
>
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