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To the Editor: I was interested in reading of Dr. Sweigard's attempt to stop his patients' crying by giving them the used syringe after he had injected them (Amer J Dis Child 109:586, 1965). I find that most of my patients are satisfied with just the plastic cover of the syringe and needle. Of course, Dr. Sweigard would do much better to make the injection itself practically painless. Ever since Dr. Janet Travell suggested ethyl chloride sprays to the area to be injected, I have used this method successfully and have eliminated any pain at all in about 80% of children having immunization injections. I have not found the method as successful with infants given injections in the buttocks, but even with them, unless the skin is very thin and fair, I have found it effective. For the last two or three years, I have used commercial skin freezing preparations
WILKES ET. DR. SWEIGARD'S METHOD. Am J Dis Child. 1965;110(2):226. doi:10.1001/archpedi.1965.02090030236029
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