Anxiety Reaction in Children During Cast Removal using Oscillating Saw versus Cast Shear - A Randomised, Prospective Trial
Malaysian Orthopaedic Journal
; : 122-128, 2021.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-922745
Responsible library:
WPRO
ABSTRACT
@#Introduction:
To compare the anxiety levels demonstrated by children during cast removal procedure between oscillating saw vs cast shear methods. Material andmethods:
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<0.05). The noise level produced by the saw exceeded 80 dB (mean 103.3 dB). The fear level was significantly lower in the cast shear group (p<0.05).Conclusion:
The noise produced by the oscillating saw was associated with an increased anxiety level in children undergoing cast removal. Cast shear is a simple and inexpensive instrument that can be used for cast removal in overly anxious children.
Full text:
Available
Database:
WPRIM (Western Pacific)
Type of study:
Controlled clinical trial
/
Observational study
Language:
English
Journal:
Malaysian Orthopaedic Journal
Year:
2021
Document type:
Article