Late answer to your question of using sedation in children with lacerations.
Unless the laceration is very large (and only a shinto priest can tell us what
very and large mean), would require infiltration instead of topical, requires
long periods of not moving, etc, I would not sedate. We use TAC quite liberally
and have found rare complication, and those esentially limited to rare
Politically incorrect philosophy, I'm not sure that life is meant to be totally
without anxiety and pain. Yes, I relieve pain in my practice, but I think that
we perseverate to the extreme, sometimes, on not causing anxiety or discomfort
in our patients. Eg. Parents that refuse to allow rectal temps in an otherwise
healthy child with a fever. Or that seek a lawyer to sue for sexual assault for
David G. Ward, M.D.
Le Bonheur, Memphis, Tn
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