Progressive Pain Response in Idiopathic Clubfoot Children Undergoing Ponseti Casting: A Prospective Evaluation in 34 Feet.

IF 0.5 4区 医学 Q4 ORTHOPEDICS Journal of the American Podiatric Medical Association Pub Date : 2024-05-01 DOI:10.7547/23-056
Sitanshu Barik, Anil Agarwal, Ankur Upadhyay, Yogesh Patel
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引用次数: 0

Abstract

Background: Investigations of pain and physiologic responses response during Ponseti casting are in the preliminary stage. This short-term study aims to quantify pain responses and to note the variations, if any, during subsequent casting sessions.

Methods: In this prospective study, the pain parameters were evaluated in 34 clubfeet. Video recording of each casting session was performed 1 minute before casting, during casting, and after 1 minute of casting. The videos were scored objectively using Neonatal Infant Pain Score (NIPS). Heart rate (HR) and oxygen saturation were recorded by using a pulse oximeter.

Results: There was progressive increase in pain response until, at the last casting session, it was recorded as NIPS 4 (interquartile range, 1) (P = .02479). Before, during, and after casting, HR rose significantly in succeeding sessions. The mean HR during the first cast session was 175.5 ± 27.2/min, which increased to a mean of 197.3 ± 18.9/min (P = .000282). For the third parameter (oxygen saturation), no differences were observed between the first and last casting sessions.

Conclusions: There was moderate pain response during Ponseti casting sessions as demonstrated by the NIPS. It rose significantly toward the last cast. The clubfoot child showed an exaggerated heart rate in succeeding casting sessions. No variations were noticed for oxygen saturation.

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接受 Ponseti 脚型固定的特发性马蹄内翻足患儿的渐进性疼痛反应:对 34 只足的前瞻性评估。
背景:对庞塞蒂石膏固定过程中疼痛和生理反应的研究尚处于初步阶段。这项短期研究的目的是量化疼痛反应,并注意在随后的铸造过程中的变化(如果有的话):在这项前瞻性研究中,对 34 例足癣患者的疼痛参数进行了评估。方法:在这项前瞻性研究中,对 34 名足癣患者的疼痛参数进行了评估。在每次石膏注射前 1 分钟、注射过程中和注射 1 分钟后,分别进行视频记录。使用新生儿婴儿疼痛评分法(NIPS)对视频进行客观评分。使用脉搏血氧仪记录心率(HR)和血氧饱和度:结果:疼痛反应逐渐增加,直至最后一次石膏固定时,NIPS 记录为 4(四分位数间距,1)(P = .02479)。在铸造之前、铸造过程中和铸造之后,心率在随后的铸造过程中均显著上升。第一次铸造过程中的平均心率为 175.5 ± 27.2/分钟,随后增至平均 197.3 ± 18.9/分钟(P = .000282)。在第三个参数(血氧饱和度)方面,第一次和最后一次铸造过程之间没有观察到差异:结论:NIPS 显示,在庞塞蒂石膏固定过程中存在中等程度的疼痛反应。结论:通过 NIPS 可以看出,在庞塞蒂石膏固定过程中疼痛反应适中,在最后一次固定时疼痛反应明显加剧。马蹄内翻足患儿在随后的石膏固定过程中心率加快。血氧饱和度没有变化。
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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
128
审稿时长
6-12 weeks
期刊介绍: The Journal of the American Podiatric Medical Association, the official journal of the Association, is the oldest and most frequently cited peer-reviewed journal in the profession of foot and ankle medicine. Founded in 1907 and appearing 6 times per year, it publishes research studies, case reports, literature reviews, special communications, clinical correspondence, letters to the editor, book reviews, and various other types of submissions. The Journal is included in major indexing and abstracting services for biomedical literature.
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