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[Cartoons, local anesthesia and nitrous oxide: a solution for the treatment of child's hands wounds]

F Rabarin1, B Cesari, J Jeudy

  • 1Centre de la main, Angers assistance main, 47, rue de la Foucaudière, 49800 Trelaze, France. rabarin@centredelamain.fr

Chirurgie De La Main
|March 16, 2013
PubMed

Insights

This study introduces a novel technique for treating pediatric hand injuries, combining sedation and distraction. The method effectively reduces child anxiety during medical procedures, improving cooperation and outcomes.

Area of Science:

  • Pediatric surgery
  • Anesthesiology
  • Child psychology

Context:

  • Pediatric hand injuries are frequent and induce significant parental and child anxiety.
  • Stressful care settings complicate therapeutic interventions, anesthesia, and surgical procedures, hindering child cooperation.
  • Effective anxiety management is crucial for successful pediatric treatment.

Purpose:

  • To evaluate a novel technique for managing pediatric hand injuries.
  • To assess the feasibility and impact of combining local anesthesia with inhalation sedation (oxygen and nitrous oxide) and cartoon distraction.
  • To measure changes in child anxiety levels throughout the treatment sequence.

Summary:

  • A prospective study included 37 children undergoing treatment for hand injuries.
  • Anxiety was measured using a visual analog scale (VAS) at three time points: upon arrival (EVA1), after cartoon distraction (EVA2), and during the postoperative visit (EVA3).
  • Mean anxiety scores significantly decreased from EVA1 (5.6) to EVA2 (2.97) and EVA3 (1.4), indicating reduced distress.

Impact:

  • The combined technique proved feasible, enabling all patients to be treated as outpatients.
  • This approach significantly reduces children's anxiety during hand injury treatment.
  • It facilitates rapid, adapted, and less stressful care for pediatric hand injuries.

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