title: [Cartoons, local anesthesia and nitrous oxide: a solution for the treatment of child's hands wounds].
abstract: Wounds 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.
authors.affiliation: Centre de la main, Angers assistance main, 47, rue de la Foucaudière, 49800 Trelaze, France. rabarin@centredelamain.fr
authors.forename: F
authors.initials: F
authors.lastname: Rabarin
authors.forename: B
authors.initials: B
authors.lastname: Cesari
authors.forename: J
authors.initials: J
authors.lastname: Jeudy
authors.forename: Y
authors.initials: Y
authors.lastname: Saint Cast
authors.forename: P A
authors.initials: PA
authors.lastname: Fouque
authors.forename: G
authors.initials: G
authors.lastname: Raimbeau
mesh_terms: D000772:Anesthesia, Local / Q000379:methods*; D018685:Anesthetics, Inhalation / Q000008:administration & dosage; D001007:Anxiety / Q000517:prevention & control*; D002359:Cartoons as Topic; D002648:Child; D005240:Feasibility Studies; D005260:Female; D006230:Hand Injuries / Q000523:psychology / Q000601:surgery*; D006801:Humans; D008297:Male; D009609:Nitrous Oxide / Q000008:administration & dosage; D019990:Perioperative Care; D011446:Prospective Studies; D013315:Stress, Psychological / Q000628:therapy; D064232:Visual Analog Scale
chemical_list: D018685:Anesthetics, Inhalation; D009609:Nitrous Oxide