• F Rabarin, B Cesari, J Jeudy, Y Saint Cast, P A Fouque, and G Raimbeau.
• Centre de la main, Angers assistance main, 47, rue de la Foucaudière, 49800 Trelaze, France. rabarin@centredelamain.fr
• Chir Main. 2013 Apr 1; 32 (2): 63-7.

AbstractWounds and injuries of child's hands are common and create anxiety. The context of stress makes difficult therapeutic cares, anesthesia and surgery, and prevents child's cooperation. We propose a technique combining a local anesthesia performed during inhalation of oxygen and nitrous oxide, and child distraction by watching a cartoon. In a prospective series of 39 children, we evaluated the feasibility of such care and its impact on the child's anxiety by a visual analog scale (VAS) at three moments of care sequence: arrival of the child (EVA1), at the end of the cartoon (EVA2), and at the postoperative visit (EVA3). Thirty-seven children were included (94.9%). Mean anxiety decreased throughout the therapeutic course: EVA1 (5.6), EVA2 (2.97), EVA3 (1.4). Children were less and less anxious along the procedure (100%, 46%, 10.8%, respectively). All children could be treated as outpatients. This procedure allows a rapid and adapted treatment for children's hand injuries. It reduces impact of children's anxiety.Copyright © 2013 Elsevier Masson SAS. All rights reserved.

25 keywords...

hide…