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Schmerzreduktion bei Blutabnahmen und Injektionen

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Schmerztherapie bei Kindern, Jugendlichen und jungen Erwachsenen

Zusammenfassung

Blutabnahmen und Impfungen sind für Kinder eine häufige und starke Schmerzerfahrung. Schmerz im medizinischen Kontext ist belastender als Alltagsschmerz. Pharmakologische, v. a. lokalanästhetische Maßnahmen sollten mit psychologischen Interventionen (z. B. Aufklärung, Anleitung der Kinder und Eltern, Ablenkung) verbunden werden, um den Stress durch Injektionen auf ein Minimum zu reduzieren. Die Art der Intervention richtet sich am Alter und dem Entwicklungsstand des Kindes aus. Von überragender Wichtigkeit ist die Anwendung von EMLA („Eutectic Mixture of Local Anesthetics“).

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Literatur

  • Abbott K, Fowler-Kerry S (1995) The use of a topical refrigerant anesthetic to reduce injection pain in children. J Pain Symptom Manage 10: 584–590

    Article  CAS  PubMed  Google Scholar 

  • Altemeier WA (1995) A pediatrician’s view. Pain management for managed care. Pediatr Ann 24: 119–120

    Article  PubMed  Google Scholar 

  • American Academy of Pediatrics (AAP), Canadian Paediatric Society (CPS) (2006) Prevention and Management of Pain in the Neonate: An Update. Pediatrics 118: 2231–2241

    Article  Google Scholar 

  • Arendts G, Stevens M, Fry M (2008) Topical anaesthesia and intravenous cannulation success in paediatric patients: a randomized double-blind trial. Br J Anaesth 100: 521–524

    Article  CAS  PubMed  Google Scholar 

  • Arts SE, Abu-Saad HH, Champion GD, Crawford MR, Fisher RJ, Juniper KH, Ziegler JB (1994) Age-related response to lidocaine-prilocaine (EMLA) emulsion and effect of music distraction on the pain of intravenous cannulation. Pediatrics 93: 797–801

    CAS  PubMed  Google Scholar 

  • Barr RG, Young SN, Wright JH, Cassidy K-L, Hendricks L, Bedard Y, Yaremko J, Leduc D, Treherne S (1995) "Sucrose Analgesia" and Diphtheria-Tetanus-Pertussis Immunizations at 2 and 4 Months. J Dev Behav Pediatr 16: 220–225

    Article  CAS  PubMed  Google Scholar 

  • Baxter AL, Ewing PH, Young GB, Ware A, Evans N, Manworren RC (2013) EMLA application exceeding two hours improves pediatric emergency department venipuncture success. Adv Emerg Nurs J 35: 67–75

    Article  PubMed  Google Scholar 

  • Bellieni CV, Cordelli DM, Raffaelli M, Ricci B, Morgese G, Buoncore G (2006) Analgesic effect of watching TV during venipuncture. Arch Dis Child 91: 1015–1017

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Benini F, Gobber D, Lago P, Agosto C, Carli G, Zacchello F (1998) Pain management of arteriovenous fistula cannulation in haemodialysis children: efficacy of EMLA anaesthetic cream. Eur J Pain 2: 109–113

    Article  CAS  PubMed  Google Scholar 

  • Biran V, Gourrier E, Cimerman P, Walter-Nicolet E, Mitanchez D, Carbajal R (2011) Analgesic effects of EMLA cream and oral sucrose during venipuncture in preterm infants. Pediatrics 128: e63–e70

    Article  PubMed  Google Scholar 

  • Bjerring P, Rendt-Nielsen L (1990) Depth and duration of skin analgesia to needle insertion after topical application of EMLA cream. Br J Anaesth 64: 173–177

    Article  CAS  PubMed  Google Scholar 

  • Blount RL, Devine KA, Cheng PS, Simons LE, Hayutin L (2008) The impact of adult behaviors and vocalizations on infant distress during immunizations. J Pediatr Psychol 33: 1163–1174

    Article  PubMed  Google Scholar 

  • Bogin FJ, Bernstein BA, Payton JS, Schechter NL, Ristau B (2004) A comparison of the pain associated with simultaneous (SIM) vs. sequential (SEQ) immunization injection given at the 9 and 12 month well child visits. Pediatr Res 55: 210A

    Google Scholar 

  • Boyd R (2000) Towards evidence based emergency medicine: best BETs from the Manchester Royal Infirmary. EMLA or amethocaine (tetracaine) for topical analgesia in children. Emerg Med J 18: 209–210

    Article  Google Scholar 

  • Brisman M, Larsson LE, Andreasson SE, Ljung BML, Otterbom I (1998) Methaemoglobin formation after the use of EMLA cream in term neonates. Acta Paediatr 87: 1191–1194

    Article  CAS  PubMed  Google Scholar 

  • Broome ME, Bates TA, Lillis PP, McGahee TW (1990) Children’s medical fears, coping behaviors, and pain perceptions during lumbar puncture. Oncol Nurs Forum 17: 361–367

    CAS  PubMed  Google Scholar 

  • Carbajal R, Biran V, Lenclen R, Epaud R, Cimerman P, Thibault P, Annequin D, Gold F, Fauroux B (2008) EMLA cream and nitrous oxide to alleviate pain induced by palivizumab (Synagis) intramuscular injections in infants and young children. Pediatrics 121: e1591–e1598

    Article  PubMed  Google Scholar 

  • Cassidy KL, Reid GJ, McGrath PJ, Smith DJ, Brown TL, Finley GA (2001) A randomized double-blind, placebo-controlled trial of the EMLA-« patch for the reduction of pain associated with intramuscular injection in four- to six-year-old children. Acta Paediatr 90: 1329–1336

    Article  CAS  PubMed  Google Scholar 

  • Centers for Disease Control and Prevention (CDC) (2007) National Immunization Project. http://www.cdc.gov/vaccines/imz-managers/coverage/nis/child/index.html. Zugegriffen: 05. Juli 2014

  • Chang PC, Goresky GV, O’Connor G, Pyesmany DA, Rogers PCJ, Steward DJ, Stewart JA (1994) A multicentre randomized study of single-unit dose package of EMLA patch vs EMLA 5 % cream for venepuncture in children. Can J Anaesth 41: 59–63

    Article  CAS  PubMed  Google Scholar 

  • Chen BK, Cunningham BB (2001) Topical anesthetics in children: agents and techniques that equally comfort patients, parents, and clinicians. Curr Opin Pediatr 13: 324–330

    Article  CAS  PubMed  Google Scholar 

  • Choy L, Collier J, Watson AR (1999) Comparison of lignocaine-prilocaine cream and amethocaine gel for local analgesia before venepuncture in children. Acta Paediatr 88: 961–964

    Article  CAS  PubMed  Google Scholar 

  • Clarkson A, O‘Donnell K (1999) Localized adverse skin reactions to topical anaesthetics. Paediatr Anaesth 9: 551–555

    Article  Google Scholar 

  • Cohen LL, Blount RL, Cohen RJ, Schaen ER, Zaff JF (1999) Comparative study of distraction vs. topical anesthesia for pediatric pain management during immunizations. Health Psychol 18: 591–598

    Article  CAS  PubMed  Google Scholar 

  • Cohen LL, Bernard RS, McClellan CB, Piazza-Waggoner C, Taylor BK, MacLaren JE (2006) Topical anesthesia versus distraction for infants’ immunization distress: Evaluation with 6-month follow-up. Childrens’s Health Care 35: 103–121

    Google Scholar 

  • Cohen Reis E, Holubkov R (1997) Vapocoolant spray is equally effective as EMLA cream in reducing immunization pain in school-aged children. Pediatrics 100: e5

    Article  CAS  PubMed  Google Scholar 

  • Cook IF, Murtagh J (2006) Ventrogluteal area: a suitable site for intramuscular vaccination of infants and toddlers. Vaccine 24: 2403–2408

    Article  CAS  PubMed  Google Scholar 

  • Cordoni A, Cordoni LE (2001Eutectic mixture of local anesthetics reduces pain during intravenous catheter insertion in the pediatric patient. Clin J Pain 17: 115–118

    Google Scholar 

  • Curtis SJ, Jou H, Ali S, Vandermeer B, Klassen T (2007) A randomized controlled trial of sucrose and/or pacifier as analgesia for infants receiving venipuncture in a pediatric emergency department. BMJ Pediatr 7: 27

    Article  Google Scholar 

  • Das DA, Grimmer KA, Sparnon AL, McRae SE, Thomas BH (2005) The efficacy of playing a virtual reality game in modulating pain for children with acute burn injuries: A randomized controlled trial. BMC Pediatrics 5: 1–10

    Article  PubMed Central  PubMed  Google Scholar 

  • Davidson JA, Boom SJ (1992) Warming lignocaine to reduce pain associated with injection. BMJ 305: 617–618

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Davies EH, Molloy A (2006) Comparison of ethyl chloride spray with topical anaesthetic in children experiencing venepuncture. Paediatr Nurs 18: 39–43

    Article  PubMed  Google Scholar 

  • DeCou JM, Abrams RS, Hammond JH, Lowder LR, Gauderer MW (1999) Iontophoresis: a needle-free, electrical system of local anesthesia delivery for pediatric surgical office procedures. J Pediatr Surg 34: 946–949

    Article  CAS  PubMed  Google Scholar 

  • Dohlwitz A, Uppfeldt A (1985) Schmerzlinderung bei Venenpunktion: Applikationszeit und Wirksamkeit einer Lidocain-Prilocain-Creme. Anaesthesist 34: 355–358

    CAS  PubMed  Google Scholar 

  • Egekvist H, Bjerring P (2000) Effect of EMLA cream on skin thickness and subcutaneous venous diameter. A randomized, placebo-controlled study in children. Acta Derm Venereol 80: 340–343

    Article  CAS  PubMed  Google Scholar 

  • Eichenfield LF, Funk A, Fallon-Friedlander S, Cunningham BB (2002) A clinical study to evaluate the efficacy of ELA-Max (4 % liposomal lidocaine) as compared with eutectic mixture of local anesthetics cream for pain reduction of venipuncture in children. Pediatrics 109: 1093–1099

    Article  PubMed  Google Scholar 

  • Eremia S, Newman N (2000) Topical anesthesia for laser hair removal: comparison of spot sizes and 755 nm versus 800 nm wavelengths. Dermatol Surg 26: 667–669

    Article  CAS  PubMed  Google Scholar 

  • Essink-Tjebbes CM, Hekster YA, Liem KD, Van Dongen RTM (1999) Topical use of local anesthetics in neonates. Pharm World Sci 21: 173–176

    Article  CAS  PubMed  Google Scholar 

  • French GM, Painter EC, Coury DL (1994) Blowing away shot pain: a technique for pain management during immunization during immunization. Pediatrics 93: 384–388

    CAS  PubMed  Google Scholar 

  • Gajraj NM, Pennant JH, Watcha MF (1994) Eutectic Mixture of Local Anesthetics (EMLA) Cream. Anesth Analg 78: 574–583

    CAS  PubMed  Google Scholar 

  • Gaspardo CM, Linhares MB, Martinez FE (2005) The efficacy of sucrose for the relief of pain in neonates: a systematic review of the literature. J Pediatr (Rio J) 81: 435–442

    Article  Google Scholar 

  • Gottschling S, Meyer S, Gribova I, Distler L, Berrang J, Gortner L, Graf N, Shamdeen MG (2008) Laser acupuncture in children with headache: A double-blind, randomized, bicenter, placebo-controlled trial. Pain 137: 405–412

    Article  PubMed  Google Scholar 

  • Gradin M, Schollin J (2005) The role of endogenous opioids in mediating pain reduction by orally administered glucose among newborns. Pediatrics 115: 1004–1007

    Article  PubMed  Google Scholar 

  • Gradin M, Eriksson M, Holmqvist G, Holstein A, Schollin J (2002) Pain reduction at venipuncture in newborns: oral glucose compared with local anesthetic cream. Pediatrics 110: 1053–1057

    Article  PubMed  Google Scholar 

  • Gradin M, Finnström O, Schollin J (2004) Feeding and oral glucose additive effects on pain reduction in newborns. Early Hum Dev 77: 57–65

    Article  CAS  PubMed  Google Scholar 

  • Gray L, Miller LW, Philipp BL, Blass EM (2002) Breastfeeding is analgesic in healthy newborns. Pediatrics 109: 590–593

    Article  PubMed  Google Scholar 

  • Gupta NK, Upadhyay A, Agarwal A, Goswami G, Kumar J, Sreenivas V (2013) Randomized controlled trial of topical EMLA and breastfeeding for reducing pain during wDPT vaccination. Eur J Pediatr 172: 1527–1533

    Article  CAS  PubMed  Google Scholar 

  • Halperin SA, McGrath P, Smith B, Houston T (2000) Lidocaine-prilocaine patch decreases the pain associated with the subcutaneous administration of measles-mumps-rubella vaccine but does not adversely affect the antibody response. J Pediatr 136: 789–794

    Article  CAS  PubMed  Google Scholar 

  • Halperin BA, Halperin SA, McGrath P, Smith B, Houston T (2002) Use of lidocaine-prilocaine patch to decrease intramuscular injection pain does not adversely affect the antibody response to diphtheria-tetanus-acellular pertussis-inactivated poliovirus-Haemophilus influenzae type b conjugate and hepatitis B vaccines in infants from birth to six months of age. Pediatr Infect Dis J 21: 399–405

    Article  PubMed  Google Scholar 

  • Hatfield LA, Gusic ME, Dyer AM, Polomano RC (2008) Analgesic properties of oral sucrose during routine immunizations at 2 and 4 months of age. Pediatrics 121: e327–e334

    Article  PubMed  Google Scholar 

  • Horn MI, McCarthy AM (1999) Children’s responses to sequential versus simultaneous immunization injections. J Pediatr Health Care 13: 18–23

    Article  CAS  PubMed  Google Scholar 

  • Huang W, Vidimos A (2000) Topical anesthetics in dermatology. J Am Acad Dermatol 43: 286–298

    Article  CAS  PubMed  Google Scholar 

  • Ipp MM, Gold R, Goldbach M, Maresky DC, Saunders N, Greenberg S, Davy T (1989) Adverse reactions to diphtheria, tetanus, pertussis-polio vaccination at 18 months of age: effect of injection site and needle length. Pediatrics 83: 679–682

    CAS  PubMed  Google Scholar 

  • Ipp M, Taddio A, Sam J, Gladbach M, Parkin PC (2007) Vaccine-related pain: randomised controlled trial of two injection techniques. Arch Dis Child 92: 1105–1108

    Article  PubMed Central  PubMed  Google Scholar 

  • Jacobson RM, Swan A, Adegbenro A, Ludington SL, Wollan PC, Poland GA (2001) Making vaccines more acceptable - methods to prevent and minimize pain and other common adverse events associated with vaccines. Vaccine 19: 2418–2427

    Article  CAS  PubMed  Google Scholar 

  • Keen MF (1986) Comparison of intramuscular injection techniques to reduce site discomfort and lesions. Nurs Res 35: 207–210

    Article  CAS  PubMed  Google Scholar 

  • Kim MK, Kini NM, Troshynski TJ, Hennes HM (1999) A randomized clinical trial of dermal anesthesia by iontophoresis for peripheral intravenous catheter placement in children. Ann Emerg Med 33: 395–399

    Article  CAS  PubMed  Google Scholar 

  • Kleiber C, Sorenson M, Whiteside K, Gronstal BA, Tannous R (2002) Topical anesthetics for intravenous insertion in children: a randomized equivalency study. Pediatrics 110: 758–761

    Article  PubMed  Google Scholar 

  • Koppel RA, Coleman KM, Coleman WP (2000) The Efficacy of EMLA versus ELA-Max for Pain Relief in Medium-Depth Chemical Peeling: A Clinical and Histopathologic Evaluation. Dermatol Surg 26: 61–64

    Article  CAS  PubMed  Google Scholar 

  • Koscielniak-Nielsen ZJ, Hesselbjerg L, Brushoj J, Britt Jensen M, Stens Pedersen H (1998) EMLA© patch for spinal puncture. A comparison of EMLA© patch with lignocaine infiltration and placebo patch. Anaesthesia 53: 1218–1222

    Article  CAS  PubMed  Google Scholar 

  • Lander J, Hodgins M, Nazarali S, McTavish J, Ouellette J, Friesen E (1996) Determinants of success and failure of EMLA. Pain 64: 89–97

    Article  CAS  PubMed  Google Scholar 

  • Lawson RA, Smart NG, Gudgeon AC, Morton NS (1995) Evaluation of an amethocaine gel preparation for percutaneous analgesia before venous cannulation in children. Br J Anaesth 75: 282–285

    Article  CAS  PubMed  Google Scholar 

  • Lyons R, Howell F (1991) Pain and measles, mumps, and rubella vaccination. Arch Dis Child 66: 346–347

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Maikler VE (1991) Effects of a skin refrigerant/anesthetic and age on the pain responses of infants receiving immunizations. Res Nurs Health 14: 397–403

    Google Scholar 

  • Minute M, Badina L, Cont G, Montico M, Ronfani L, Barbi E, Ventura A (2012) Videogame playing as distraction technique in course of venipuncture. Med Surg Ped 34: 77–83

    CAS  Google Scholar 

  • Mörelius E, Theodorsson E, Nelson N (2009) Stress at threeGÇÉmonth immunization: Parents‘ and infants‘ salivary cortisol response in relation to the use of pacifier and oral glucose. Eur J Pain 13: 202–208

    Article  PubMed  Google Scholar 

  • Nilsson A, Danielson K, Engberg G, Henneberg S (1990) EMLA for pain relief during arterial cannulation: A double-blind, placebo-controlled study of a lidocaine-prilocaine cream. Ups J Med Sci 95: 87–94

    Article  CAS  PubMed  Google Scholar 

  • Norris Jr RL (1992) Local anesthetics. Emerg Med Clin North Am 10: 707–718

    PubMed  Google Scholar 

  • Nott MR (2001) EMLA or Ametop, and for how long? Anaesthesia 56: 1026–1027

    Article  CAS  PubMed  Google Scholar 

  • O‘Connor B, Tomlinson AA (1995) Evaluation of the efficacy and safety of amethocaine gel applied topically before venous cannulation in adults. Br J Anaesth 74: 706–708

    Article  PubMed  Google Scholar 

  • Okan F, Coban A, Ince Z, Yapici Z, Can G (2007) Analgesia in preterm newborns: the comparative effects of sucrose and glucose. Eur J Pediatr 166: 1017–1024

    Article  CAS  PubMed  Google Scholar 

  • Powers SW (1999) Empirically supported treatments in pediatric psychology: Procedure-related pain. J Pediatr Psychol 24: 131–145

    Article  CAS  PubMed  Google Scholar 

  • Romsing J, Henneberg SW, Walther-Larsen S, Kjeldsen C (1999) Tetracaine gel vs EMLA cream for percutaneous anaesthesia in children. Br J Anaesth 82: 637–638

    Article  CAS  PubMed  Google Scholar 

  • Rose JB, Galinkin JL, Jantzen EC, Chiavacci RM (2002) A study of lidocaine iontophoresis for pediatric venipuncture. Anesth Analg 94: 867–871

    Article  CAS  PubMed  Google Scholar 

  • Russell SC, Doyle E (1997) A risk-benefit assessment of topical percutaneous local anaesthetics in children. Drug Saf 16: 279–287

    Article  CAS  PubMed  Google Scholar 

  • Schechter NL, Zempsky WT, Cohen LL, McGrath PJ, McMurtry CM, Bright NS (2007) Pain reduction during pediatric immunizations: evidence-based review and recommendations. Pediatrics 119: e1184–e1198

    Article  PubMed  Google Scholar 

  • Schichor A, Bernstein B, Weinerman H, Fitzgerald J, Yordan E, Schechter N (1994) Lidocaine as a diluent for ceftriaxone in the treatment of gonorrhea: does it reduce the pain of the injection? Arch Pediatr Adolesc Med 148: 72–75

    Article  CAS  PubMed  Google Scholar 

  • Schreiber S, Ronfani L, Chiaffoni GP, Matarazzo L, Minute M, Panontin E, Poropat F, Germani C, Barbi E (2013) Does EMLA cream application interfere with the success of venipuncture or venous cannulation? A prospective multicenter observational study. Eur J Pediatr 172: 265–268

    Article  CAS  PubMed  Google Scholar 

  • Shah PS, Aliwalas LI, Shah V (2006) Breastfeeding or breast milk for procedural pain in neonates. Cochrane Database Syst Rev 3: CD004950

    PubMed  Google Scholar 

  • Shah PS, Herbozo C, Aliwalas LL, Shah VS (2012) Breastfeeding or breast milk for procedural pain in neonates. Cochrane Database Syst Rev 12: CD004950

    PubMed  Google Scholar 

  • Squire SJ, Kirchhoff KT, Hissong K (2000) Comparing two methods of topical anesthesia used before intravenous cannulation in pediatric patients. J Pediatr Health Care 14: 68–72

    Article  CAS  PubMed  Google Scholar 

  • Stevens J, Suchindran C, Ring K, Baggett CD, Jobe JB, Story M, Thompson J, Going SB, Caballero B (2004) Physical activity as a predictor of body composition in American Indian children. Obes Res 12: 1974–1980

    Article  PubMed  Google Scholar 

  • Stinson J, Yamada J, Dickson A, Lamba J, Stevens B (2008) Review of systematic reviews on acute procedural pain in children in the hospital setting. Pain Res Manag 13: 51–57

    PubMed Central  PubMed  Google Scholar 

  • Taddio A, Nulman I, Goldbach M, Ipp M, Koren G (1994) Use of lidocaine-prilocaine cream for vaccination pain in infants. J Pediatr 124: 643–648

    Article  CAS  PubMed  Google Scholar 

  • Taddio A, Shah V, Atenafu E, Katz J (2009) Influence of repeated painful procedures and sucrose analgesia on the development of hyperalgesia in newborn infants. Pain 144:43–8

    Article  CAS  PubMed  Google Scholar 

  • Thyr M, Sundholm A, Teeland L, Rahm V (2007) Oral glucose as an analgesic to reduce infant distress following immunization at the age of 3, 5 and 12 months. Acta Paediatr 96: 233–236

    Article  PubMed  Google Scholar 

  • Uman LS, Birnie KA, Noel M, Parker JA, Chambers CT, McGrath PJ, Kisely SR (2013) Psychological interventions for needle-related procedural pain and distress in children and adolescents. Cochrane Database Syst Rev 10: CD005179

    PubMed  Google Scholar 

  • Wongprasartsuk P, Main BJ (1998) Adverse local reactions to amethocaine cream – audit and case reports. Anaesth Intensive Care 26: 312–314

    CAS  PubMed  Google Scholar 

  • Woolfson AD, McCafferty DF, Boston V (1990) Clinical experiences with a novel percutaneous amethocaine preparation: prevention of pain due to venepuncture in children. Br J Clin Pharmacol 30: 273–279

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Yilmaz G, Caylan N, Oguz M, Karacan CD (2014) Oral sucrose administration to reduce pain response during immunization in 16-19 month infants: a randomized, placebo-controlled trial. Eur J Pediatr 173(11): 1527–32

    Google Scholar 

  • Zuckerman JN (2000) The importance of injecting vaccines into muscle: different patients need different needle sizes. BMJ 321: 1237–1238

    Article  PubMed Central  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Klinik für Kinder- und Jugendmedizin gastroenterologische Ambulanz, Klinikum Dortmund gGmbH, Beurhausstraße 40, 44137, Dortmund, Deutschland

    Jens Berrang

  2. Coerdeplatz 10, 48147, Münster, Deutschland

    Paul Vosschulte

  3. Deutsches Kinderschmerzzentrum und Kinderpalliativzentrum, Vestische Kinder- und Jugendklinik Datteln - Universität Witten/Herdecke, Blutabnahmen, Deutschland

    Boris Zernikow

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    Boris Zernikow

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Berrang, J., Vosschulte, P., Zernikow, B. (2015). Schmerzreduktion bei Blutabnahmen und Injektionen. In: Zernikow, B. (eds) Schmerztherapie bei Kindern, Jugendlichen und jungen Erwachsenen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-45057-4_17

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