 The primary objective of this study is to determine if acupuncture, when used in combination with standard anesthetic management, decreases the incidence of emergence delirium in pediatric patients following myringotomy tube placement. Patients with and without premedication of midazolam will be included. A secondary objective of this study is to determine our institutions actual incidence of emergence delirium for this operation using a validated scale, the Pediatric Anesthesia Emergence Delirium PAED scale. We will also compare rates of emergence delirium in patients that received a premedication of midazolam versus V those that did not NV. 