PMID- 11341425
OWN - NLM
STAT- MEDLINE
DCOM- 20010531
LR  - 20190915
IS  - 0301-620X (Print)
IS  - 0301-620X (Linking)
VI  - 83
IP  - 3
DP  - 2001 Apr
TI  - Anxiety reaction in children during removal of their plaster cast with a saw.
PG  - 388-90
AB  - 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.
FAU - Katz, K
AU  - Katz K
AD  - Schneider Children's Medical Centre, Petah Tiqva, Israel.
FAU - Fogelman, R
AU  - Fogelman R
FAU - Attias, J
AU  - Attias J
FAU - Baron, E
AU  - Baron E
FAU - Soudry, M
AU  - Soudry M
LA  - eng
PT  - Clinical Trial
PT  - Journal Article
PL  - England
TA  - J Bone Joint Surg Br
JT  - The Journal of bone and joint surgery. British volume
JID - 0375355
SB  - IM
MH  - Anxiety/*etiology/prevention & control
MH  - Cardiomyopathies/complications
MH  - *Casts, Surgical
MH  - Child
MH  - *Ear Protective Devices
MH  - Female
MH  - Heart Rate
MH  - Humans
MH  - Infant
MH  - Male
MH  - Noise/*adverse effects
EDAT- 2001/05/09 10:00
MHDA- 2001/06/02 10:01
CRDT- 2001/05/09 10:00
PHST- 2001/05/09 10:00 [pubmed]
PHST- 2001/06/02 10:01 [medline]
PHST- 2001/05/09 10:00 [entrez]
AID - 10.1302/0301-620x.83b3.10487 [doi]
PST - ppublish
SO  - J Bone Joint Surg Br. 2001 Apr;83(3):388-90. doi: 10.1302/0301-620x.83b3.10487.