Anxiety reaction in children during removal of their plaster cast with a saw

被引:42
作者
Katz, K
Fogelman, R
Attias, J
Baron, E
Soudry, M
机构
[1] Schneider Childrens Med Ctr Israel, Inst Clin Neurophysiol & Audiol, IL-49202 Petah Tiqwa, Israel
[2] Sackler Sch Med, Tel Aviv, Israel
来源
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 2001年 / 83B卷 / 03期
关键词
D O I
10.1302/0301-620X.83B3.10487
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
We have had experience of an 18-month-old boy with a cardiomyopathy who died a few minutes after removal of his cast with a saw, apparently from a malignant cardiac arrhythmia triggered by anxiety. We therefore examined the anxiety reaction to this method of removal of a plaster cast in 20 healthy children; ten were provided with hearing protectors and ten were not. The level of anxiety was assessed by measuring the heart rate, a known physiological indicator of anxiety, before, during and five minutes after removal of the cast. The noise level was also measured. The results showed a mean increase in heart rate during the procedure of 27.9 beats per minute (bpm) (26.9%) in the children with no hearing protectors and 10.4 bpm (11.1%) in children who used hearing protectors (p < 0.001). Five minutes after the procedure the heart rate had returned to the baseline rate in all patients. We recommend that hearing protectors should be used in children undergoing removal of a plaster cast to decrease the anxiety reaction. If possible, clinicians should avoid the use of a saw for this purpose in children with a cardiomyopathy.
引用
收藏
页码:388 / 390
页数:3
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