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Pain management in young children undergoing diagnostic tympanocentesis

Shaikh, N and Hoberman, A and Kurs-Lasky, M and Rockette, HE and Chandra, A and Colborn, DK and Hooper, EG and Cohen Reis, E (2011) Pain management in young children undergoing diagnostic tympanocentesis. Clinical Pediatrics, 50 (3). 231 - 236. ISSN 0009-9228

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Objective. To describe the pain associated with diagnostic tympanocentesis and to gather preliminary data comparing the efficacy of 3 methods of pain reduction for tympanocentesis. Methods. In children 6 to 36 months of age undergoing tympanocentesis for acute otitis media, the authors measured pain and distress throughout all phases of the procedure and recovery using physiological (heart rate) and behavioral measures (cry duration, Global Mood Scale score, and pain visual analog scales). They compared-in a randomized controlled trial-3 pain reduction interventions: acetaminophen, acetaminophen plus codeine, and ibuprofen plus midazolam. Results. Heart rate increased throughout the procedure, peaking during needle aspiration. Children treated with acetaminophen alone had higher peak heart rates and Global Mood Scale scores during parts of the procedure. Conclusions. Acetaminophen alone may not be as effective in reducing pain-related physiological and behavioral changes as acetaminophen plus codeine or ibuprofen plus midazolam during diagnostic tympanocentesis. © 2011 The Author(s).


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Shaikh, Nnas67@pitt.eduNAS67
Hoberman, A
Kurs-Lasky, M
Rockette, HE
Chandra, A
Colborn, DK
Hooper, EG
Cohen Reis, E
Date: 1 March 2011
Date Type: Publication
Journal or Publication Title: Clinical Pediatrics
Volume: 50
Number: 3
Page Range: 231 - 236
DOI or Unique Handle: 10.1177/0009922810385677
Schools and Programs: School of Medicine > Pediatrics
Refereed: Yes
ISSN: 0009-9228
MeSH Headings: Acetaminophen--therapeutic use; Acute Disease; Analgesics, Non-Narcotic--therapeutic use; Analgesics, Opioid--therapeutic use; Biopsy, Fine-Needle; Child, Preschool; Codeine--therapeutic use; Diagnostic Techniques, Otological--adverse effects; Drug Administration Schedule; Drug Therapy, Combination; Ear, Middle--pathology; Female; Humans; Hypnotics and Sedatives--therapeutic use; Ibuprofen--therapeutic use; Infant; Male; Midazolam--therapeutic use; Otitis Media--pathology; Pain--etiology; Pain--physiopathology; Pain--prevention & control; Pain Measurement; Treatment Outcome; Tympanic Membrane
PubMed ID: 21098520
Date Deposited: 11 Sep 2012 22:00
Last Modified: 02 Feb 2019 16:58


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