In the Operating Room (OR)In the Hospital or the Ambulatory Surgery Center, your child is under general anesthesia for about 15 – 20 | In the Doctor’s Office (Tula)In the doctor’s office, a device is used to deliver numbing medication to your child’s eardrum and ear tubes are inserted. You can stay with your child during the entire procedure which typically lasts about 35 minutes. |
No eating 6 hours before surgery. |
 You are with your child in the procedure room. |
 Child goes into operating room. Parent goes into the waiting room. |
 Child wears an earplug and quietly plays for about 10 minutes while the numbing medicine works. |
 Child is put under general anesthesia, then ear tubes are inserted. |
 Child’s head is stabilized and ear tubes are inserted. |
 Child wakes up and is typically able to go home within a few hours. |
 Parent & Child leave right after procedure. |
References
1 Hippard HK, Govindan K, Friedman EM, et. al. Postoperative Analgesic and Behavioral Effects of Intranasal Fentanyl, Intravenous Morphine, and Intramuscular Morphine in Pediatric Patients Undergoing Bilateral Myringotomy and Placement of Ventilating Tubes. Anesthesia & Analgesia 115(2); 356-363, 2012.
2 Cravero JP, Beach M, Dodge CP, Whalen K. Emergence Characteristics of Sevoflurane Compared to Halothane In Pediatric Patients Undergoing Bilateral Pressure Equalization Tube Insertion. J Clin Anesth 12; 397-401, 2000.
3 Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration: Application to Healthy Patients Undergoing Elective Procedures. Anesthesiology 126(3); 376-393, 2017.
4 Tula Pivotal Study. Data on file.
The information presented about the Tula System is for educational, informational, and illustrative purposes only. It does not constitute and is not a substitute for medical advice and does not provide any indication, guide, or guarantee as to the response a child may have during a Tula System procedure.