Assessing the reduction in pain and anxiety by the use of showing an animated video of the procedure, among pediatric patients undergoing pin removal after fixation of supracondylar fractures.
Patients with supracondylar fractures operated on for percutaneous K-wire fixation.
Age between 4 to 12 years
Any syndromic patients
Patients having any visual or cognitive disability
Patients having any pre-operative or post-operative complications before pin removal.
Patients undergoing the procedure under general anesthesia.
Parallel
K-wire removal with animated procedure video being shown to the patient during its performance.
Procedure/SurgeryK-wire removal, post-supracondylar fracture fixation, will be performed while showing the patient an animated video of the procedure.
K-wire removal without animated procedure video being shown to the patient during its performance.
Procedure/SurgeryK-wire removal, post-supracondylar fracture fixation, will be performed without showing the patient an animated video of the procedure.
Wong Baker Pain scale (WBS)
The Wong Baker Pain scale will be used to assess pain before, during, and after the procedure being performed. A self-assessment tool for pain that uses six cartoon faces to grade pain on a numerical range of 0-10 ranked in increasing order of pain. Higher scores depict worse outcome and increased pain.
Children's Hospital of Eastern Ontario Pain Scale (CHEOPS)
Children's Hospital of Eastern Ontario Pain Scale will be used to assess pain before, during, and after the procedure being performed. A 10-item observational tool used to assess postoperative pain from a score of 4 to 13, higher scores indicating more pain and worse outcome.
Children's Anxiety Meter-State (CAM-S)
The Children's Anxiety Meter-State scale will be used to assess anxiety before, during, and after the procedure being performed. This is a brief measure where scores are on a scale of 0-10; low scores depict better outcomes and high scores depict worse outcomes.
Short State Trait Anxiety Inventory Scale (STAI)
The Short State Inventory Scale will be used to assess anxiety before, during, and after the procedure being performed, using the questionnaire set by the scale itself. A 20-item self reported assessment tool which scores each item from 1 to 4 for a minimum score of 20 to a maximum of 80. Low scores mean less anxiety and better outcome and a high score means greater anxiety and worse outcome. Positively phrased items are reverse-scored to calculate the total score.
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