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Published on: October 10, 2020
Pain during percutaneous pin removal in children with elbow fractures
Guan Tzu Tay1, Elvin Salioc Lokino, Lling Ling Ong
1KK Hospital, Singapore.
Insights
Caregivers perceived minimal pain during percutaneous Kirschner wire removal in children with elbow fractures. Most believed analgesia was unnecessary for this procedure.
Area of Science:
- Orthopedic surgery
- Pediatric orthopedics
- Pain management
Background:
- Percutaneous Kirschner wire fixation is common for pediatric elbow fractures.
- Wire removal is often performed without anesthesia, but pain perception varies.
- Caregiver and patient perspectives on pain during wire removal are important.
Purpose of the Study:
- To assess caregiver-perceived pain in children undergoing percutaneous Kirschner wire removal.
- To evaluate the necessity of analgesia for this procedure.
Main Methods:
- Survey of caregivers regarding pain perception during wire removal.
- Retrospective pain scoring (1-10 scale) via telephone interview.
- Analysis of caregiver preferences for analgesia (none, paracetamol, sedation, general anesthesia).
Main Results:
- Mean caregiver-perceived pain score was 3.88.
- 30 out of 41 caregivers found analgesia unnecessary.
- 10 caregivers opted for paracetamol, and 1 for sedation; none opted for general anesthesia.
Conclusions:
- Most caregivers considered analgesia unnecessary for percutaneous Kirschner wire removal in children with elbow fractures.
- The findings suggest a low perceived need for pain management during this procedure.
Purpose:
To survey caregivers with regard to the pain they perceived their children were having during the removal of the percutaneous Kirschner wires, as well as the need for analgesia.
Methods:
23 male and 18 female patients aged 1 to 15 (mean, 7) years who underwent closed reduction and percutaneous Kirschner wire fixation for elbow fractures and subsequent removal of the wires were included. Before the removal procedure, caregivers of these patients were asked to select one of 4 options for the procedure: no analgesia, paracetamol, sedation, and general anaesthesia. Approximately one month following the procedure, the caregivers were interviewed via telephone to retrospectively score the pain (on a scale of 1 to 10) they perceived their children were having during the removal procedure.
Results:
The mean retrospective pain score given by these caregivers was 3.88. Of the 41 caregivers, 30 considered analgesia unnecessary, 10 opted for paracetamol, and only one opted for sedation. None considered general anaesthesia necessary.
Conclusion:
For these children with elbow fractures, most caregivers considered analgesia unnecessary during the removal of percutaneous wires.
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