Piet Leroy, paediatric intensivist (MD, PhD) presents in his dissertation (2012) several ways to deal safely and effectively with procedure related stress, pain or non-cooperative behaviour in sick children. In modern paediatrics invasive diagnostic and therapeutic procedures are part of daily practice. Many of these procedures are painful and stressful or are impossible to perform without immobility. It is frequently the case that children need to be physically restrained.
Improving Procedural Sedation and/or Analgesia in Children;
from practice over evidence to practice-. Universitaire Pers Maastricht, 2012.
Piet Leroy, works as paediatric intensivist at the Maastricht University Medical Centre in Maastricht in the Netherlands
According to EACH the practice of applying restraint faces a number of objections.
In chapter four of the dissertation Piet Leroy and Rankie ten Hoopen (PhD; Associate Professor in Medical Law; Maastricht University) present an ethical and legal investigation of this practice:
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