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INTRODUCTION: To compare the anxiety levels demonstrated by children during cast removal surgery between oscillating saw vs. cast shear techniques. Objective assessment was carried out by identifying the fear level on Children's Fear Scale's Fear Scale. RESULTS: When using the oscillating saw instead of cast shear, there was a significant rise in the heart rate of children during cast removal. CONCLUSION: The noise produced by the oscillating saw was attributed to an increased risk of children facing cast removal. Cast shear is a simple and inexpensive device that can be used for casting removal in overly anxious children.
Source link: https://doi.org/10.5704/MOJ.2107.018
Pediatric patients or their parents may be concerned during hospitalization or breastfeeding. Fixation using a cast is a common surgical option, particularly in the case of skin grafts wherein fixation of the foot and ankle is necessary to ensure the graft skin's survives. We cut the cast intraoperatively and then fixed the cast again using nylon cable ties to avoid further stress in pediatric patients.
Source link: https://doi.org/10.1097/GOX.0000000000003700
Cast Removal: Casting out a child can be painful. This scoping report aims to provide a detailed analysis of interventions that can reduce anxiety and enhance the child's and families' experiences with pediatric cast removal. Inclusion criteria: studies published in January 1975–u2013October 2019 with a primary focus on pediatric patients receiving cast removal/cast room procedures. Interventions included the following, either alone or in combination: noise reduction, electronics equipment use, preparatory data, music therapy, play therapy, and child life specialist-directed intervention. Heart rate was used as a primary or secondary outcome measure in numerous studies. According to the Joanna Briggs Institute's Critical Appraisal Checklist for Randomized Controlled Trials, students scored poorly on outcome measure reliability and blinding. Conclusion: Several strategies have been tried to enhance the pediatric cast removal process. In addition, future research and quality enhancement projects should evaluate interventions that are tailored to a child's age and family/family's taste.
Source link: https://doi.org/10.3390/children8020130
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