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How do You Select an Anesthesia Method Prior to Tympanostomy Tube Insertion for a Child?

, : How do You Select an Anesthesia Method Prior to Tympanostomy Tube Insertion for a Child?. Journal of Audiology & Otology 20(3): 127-130

NlmCategory="UNASSIGNED">The use of general (face-mask inhalation and intravenous) anesthesia has been the method of choice for tympanostomy tube insertion in children. However, there is no exact guideline for the choice of anesthesia method and there is no evidence to support the use of one anesthesia method over another. Clinically, the anesthesia method used to be decided by old customs and the surgeon's blind faith that children cannot bear tympanostomy tube insertion under local anesthesia. Clinicians should keep in mind that pediatric anesthesia has a potential risk. Despite infrequent serious complications, their seriousness necessitates that sedation or general anesthesia should be done by an anesthesiologist and thus children requiring tympanostomy tube insertion should be referred to secondary or tertiary hospitals, even if they have been followed by a primary care physician for a long time. Previous evidence showed that local anesthesia is appropriate for tympanostomy tube insertion in selected children, especially in children older than 5 years are older. Proper choice of anesthesia method is helpful for both patient and medical service provider. Local anesthesia can give psychological relief to children and their parent. It is easier for the medical service providers to schedule the operation and allocate the medical resources in their hospital. Local anesthesia can reduce individual, social, and national burdens for the health care services.


PMID: 27942597

DOI: 10.7874/jao.2016.20.3.127

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Ransom, E.T., 1950: The Karakul industry of South-West Africa. THE Karakul iadustry of S. W. Africa originated with the importation of 25 and 255 from Grermany in 1909.The estimated numbers in 1949 were 40, 000 purebred sheep and 3, 030, 000 crossbred. Production of pelts in 1948-49 totalled 2, 100, 000, S. W...

Mason, W.P.; Krol, G.S.; DeAngelis, L.M., 1996: Low-grade oligodendroglioma responds to chemotherapy. We administered chemotherapy in standard and intensified formulations of procarbazine, lomustine (CCNU), and vincristine to nine symptomatic patients with low-grade oligodendroglioma. Eight patients were treated with chemotherapy at presentation a...

Swett, F.H., 1945: The role of the peribrachial area in the control of reduplica-tion in Amblystoma. The expts. herein reported were designed to test the specific part played by the area of tissue immediately sur-rounding the limb in the production and control of reduplica-tion. Since limb transplants to the head seldom produce double structures...

Młynarski, W., 2014: Efficient coding of spectrotemporal binaural sounds leads to emergence of the auditory space representation. To date a number of studies have shown that receptive field shapes of early sensory neurons can be reproduced by optimizing coding efficiency of natural stimulus ensembles. A still unresolved question is whether the efficient coding hypothesis exp...

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Anonymous, 2011: THE Department of Medical Photography. Broadway R10(7): 157-157

Rougeot, P-C., 1983: Description d'un nouveau Batuana (lepidoptere Noctuidae Trifinae) d'Ethiopie. Bulletin Mensuel de la Societe Linneenne de Lyon, 525: 167-168

Shah, M.J.; Sweeten, T.L.; Rhodes, L.A.; Vetter, V.L., 1996: JTc and QTc dispersion in patients following surgical repair of tetralogy of Fallot. Journal of the American College of Cardiology 27(2 SUPPL A): 297A

Pham, P.; Chelico, L.; Goodman, M.F., 2007: DNA deaminases AID and APOBEC3G act processively on single-stranded DNA. The carotid sinus syndrome (CSS) is characterized by repetitive syncope due to prolonged heart rate slowing or a profound drop in systolic blood pressure. CSS is due to an inappropriate response of a hypersensitive carotid sinus following pressure...