Pain: Difference between revisions
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Surgical operation on infants without anesthesia continued for well over a century, at least until 1987, when the [[American Academy of Pediatrics]] was forced to issue a CYA statement that called for the use of anesthesia.<ref>{{REFjournal | Surgical operation on infants without anesthesia continued for well over a century, at least until 1987, when the [[American Academy of Pediatrics]] was forced to issue a CYA statement that called for the use of anesthesia.<ref name="poland1987">{{REFjournal | ||
|last=Poland | |last=Poland | ||
|first=Ronald L. | |first=Ronald L. | ||
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}}</ref> | }}</ref> | ||
The standard of care now requires analgesia if elective neonatal non-therapeutic circumcision is to be carried out. | The standard of care now requires analgesia if elective neonatal non-therapeutic circumcision is to be carried out.<ref name="poland1987" /> <ref name="aap1999">{{REFjournal | ||
|last=Lannon | |||
|init=CM | |||
|first=Carole M. | |||
|author-link= | |||
|last2=Bailey | |||
|init2=AGD | |||
|first2=Ann Geryl Doll | |||
|author2-link= | |||
|last3=Fleischman | |||
|init3=AR | |||
|first3=Alan R. | |||
|author3-link= | |||
|last4=Kaplan | |||
|init4=G | |||
|first4=George | |||
|author4-link= | |||
|etal=yes | |||
|title=Circumcision policy statement | |||
|trans-title= | |||
|language=English | |||
|journal=Pediatrics | |||
|location= | |||
|date=1999-09 | |||
|volume=103 | |||
|issue=3 | |||
|pages=687-93 | |||
|url=http://www.cirp.org/library/statements/aap1999/ | |||
|archived= | |||
|quote= | |||
|pubmedID=22926180 | |||
|pubmedCID= | |||
|DOI=10.1016/j.juro.2013.06.094 | |||
|accessdate=2020-11-19 | |||
}}</ref> | |||
<b>However, none of the above three procedures totally eliminate pain. A baby boy will still experience some pain despite any of those analgesic procedures. Prevention of pain requires protecting a boy from elective neonatal non-therapeutic circumcision. Only boys who are protected from the medically unnecessary circumcision surgery experience no pain or trauma.</b> | <b>However, none of the above three procedures totally eliminate pain. A baby boy will still experience some pain despite any of those analgesic procedures. Prevention of pain requires protecting a boy from elective neonatal non-therapeutic circumcision. Only boys who are protected from the medically unnecessary circumcision surgery experience no pain or trauma.</b> | ||
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</blockquote> | </blockquote> | ||
The [[American Academy of Pediatrics]] convened a new task force on circumcision under the chair of Carole M. Lannon, M. D. That task force reversed the position previously taken under [[Edgar J. Schoen]]. It clearly stated that non-therapeutic infant circumcision is "not essential to the child’s current well-being." It provided an extensive discussion of procedural analgesia and said, quite strongly, that, if a circumcision is done, procedural analgesia should be provided.<ref | The [[American Academy of Pediatrics]] convened a new task force on circumcision under the chair of Carole M. Lannon, M. D. That task force reversed the position previously taken under [[Edgar J. Schoen]]. It clearly stated that non-therapeutic infant circumcision is "not essential to the child’s current well-being." It provided an extensive discussion of procedural analgesia and said, quite strongly, that, if a circumcision is done, procedural analgesia should be provided.<ref name="aap1999" /> | ||
Kraft (2003) reported that "many health care practitioners routinely perform this procedure without the use of any or with inadequate or ineffective analgesia and anesthesia."<ref name="kraft2003">{{REFjournal | Kraft (2003) reported that "many health care practitioners routinely perform this procedure without the use of any or with inadequate or ineffective analgesia and anesthesia."<ref name="kraft2003">{{REFjournal | ||