Anxiety Reaction in Children During Cast Removal using Oscillating Saw versus Cast Shear - A Randomised, Prospective Trial
https://doi.org/10.5704/MOJ.2107.018
- Author:
Mohamed-Zain NA
1
;
Jamil K
1
;
Penafort R
2
;
Singh A
3
;
Ibrahim S
1
;
Abdul-Rashid AH
3
Author Information
1. Department of Orthopaedics and Traumatology, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
2. Department of Orthopaedics, KPJ Damansara Specialist Centre, Kuala Lumpur, Malaysia
3. Department of Orthopaedics and Traumatology, Tengku Ampuan Rahimah Hospital, Klang, Malaysia
- Publication Type:Journal Article
- Keywords:
anxiety, cast removal, oscillating saw, cast shear
- From:Malaysian Orthopaedic Journal
2021;15(No.2):122-128
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: To compare the anxiety levels demonstrated
by children during cast removal procedure between
oscillating saw vs cast shear methods.
Material 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<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:16.2021my1184.pdf
