Anxiety Reaction in Children During Cast Removal using Oscillating Saw versus Cast Shear - A Randomised, Prospective Trial

Autor: Mohamed-Zain NA, Jamil K, Penafort R, Singh A, Ibrahim S, Abdul-Rashid AH
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Malaysian Orthopaedic Journal, Vol 15, Iss 2, Pp 122-128 (2021)
Druh dokumentu: article
ISSN: 1985-2533
2232-111X
DOI: 10.5704/MOJ.2107.018
Popis: INTRODUCTION: To compare the anxiety levels demonstrated by children during cast removal procedure between oscillating saw vs cast shear methods. MATERIALS AND METHODS: A randomised prospective study of 102 children (mean age 8.3 ± 3.5 years) with fractures involving upper or lower limbs. Children undergoing removal of cast were divided into 2 groups; either by an oscillating saw or a cast cutting shear. The level of anxiety was assessed by recording the heart rate with a portable fingertip pulse oximeter before, during and after removal of the cast. Objective assessment was performed by documenting the fear level on Children’s Fear Scale (CFS). RESULTS: There was a significant increase in the heart rate of children during cast removal while using the oscillating saw compared to cast shear (p
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