It is a sad paradox that the injection of local anesthesia into a wound —in order to render debridement and wound closure painless —is itself painful. In pediatrics, especially, such an unpleasant prelude often aggravates the situation for both patient and physician.
The following technique serves to eliminate the pain of wound injection. It makes simple use of the fundamental fact that consciousness (i.e., present awareness) is limited. Thus, when consciousness is preempted by pain, other stimuli are disregarded. Distraction, then, is merely the redirection of consciousness from painful to nonpainful stimuli. Of course, when distraction redirects consciousness from kinesthetic (i.e., feeling) to visual perceptions, the likelihood of anesthesia is enhanced.
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