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Techniques to Allay Anxiety During Pediatric Laser Procedures
Mercedes E. Gonzalez, MD;
Elizabeth Alvarez Connelly, MD;
Lawrence Schachner, MD
Arch Dermatol. 2008;144(11):1476.
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A 6-year-old boy presented with a nevus simplex overlying the middle forehead that he has had since birth. He was being treated with a 595-nm pulsed-dye laser every 4 weeks. We use several measures in our pediatric dermatology clinic to ease anxiety during laser treatments and other procedures in children. In the video, you can see 4 different techniques. First, lidocaine, 4%, cream (LMX) is applied to the target area under occlusion at triage and then is allowed to sit for at least 30 minutes before treatment with the pulsed-dye laser is begun. Second, at least 1 parent remains in the room, preferably close to the child, during the procedure. Third, we position the child comfortably with a firm but gentle hold on the target area. Finally, in the case of laser treatments, we avoid using large goggles . . . [Full Text of this Article]
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