Comparative study of acute stress in infants undergoing percutaneous achilles tenotomy for clubfoot vs. peripheral line placement

Introduction: Percutaneous tenotomy of the Achilles tendon is a procedure that is part of the Ponseti method for clubfoot correction. The need to apply general anesthesia or sedation for this procedure is controversial. The objective of this study is to compare the acute stress generated in infants...

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Authors: Ey Batlle, A., Jordán García, Iolanda, Miguez Gonzalez, Paula, Vinyals Rodríguez, Marta
Format: article
Status:Published version
Publication Date:2024
Country:España
Institution:Universidad de Barcelona
Repository:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/222402
Online Access:https://hdl.handle.net/2445/222402
Access Level:Open access
Keyword:Tendó d'Aquil·les
Dolor
Plor
Infants
Anestèsia local
Achilles tendon
Pain
Crying
Children
Local anesthesia
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spelling Comparative study of acute stress in infants undergoing percutaneous achilles tenotomy for clubfoot vs. peripheral line placementEy Batlle, A.Jordán García, IolandaMiguez Gonzalez, PaulaVinyals Rodríguez, MartaTendó d'Aquil·lesDolorPlorInfantsAnestèsia localAchilles tendonPainCryingChildrenLocal anesthesiaIntroduction: Percutaneous tenotomy of the Achilles tendon is a procedure that is part of the Ponseti method for clubfoot correction. The need to apply general anesthesia or sedation for this procedure is controversial. The objective of this study is to compare the acute stress generated in infants by percutaneous Achilles tenotomy under local anesthesia vs. peripheral line placement. Material and methods: This cross-sectional study compares the discomfort experienced by 85 infants undergoing percutaneous Achilles tenotomy with local anesthesia with that experienced by 39 infants undergoing peripheral line placement. The following parameters were determined: the duration of the procedure, crying time, average crying intensity, and maximum crying intensity. Other data recorded included the infant's age and complications arising during the procedure. Results: The mean ages of these patients were 1.95 and 2.18 months, respectively. The following data were obtained: the mean duration of the procedure for Group A was 8.13 s and for Group B it was 127.43 s; the mean duration of crying for Group A was 84.24 s and for Group B it was 195.82 s; the mean intensity of crying for Group A was 88.99 dB and for Group B it was 100.98 dB; and the maximum crying intensity for Group A was 96.56 dB and for Group B it was 107.76 dB. Conclusions: Percutaneous Achilles tenotomy can be safely performed as an outpatient procedure, under local anesthesia. This method generates less discomfort than peripheral line placement.MDPI2024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/222402Articles publicats en revistes (Ciències Clíniques)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.3390/children11060633Children, 2024, vol. 11, num.6https://doi.org/10.3390/children11060633cc-by (c) Ey Batlle, AM et al., 2024http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/2224022026-05-27T06:46:51Z
dc.title.none.fl_str_mv Comparative study of acute stress in infants undergoing percutaneous achilles tenotomy for clubfoot vs. peripheral line placement
title Comparative study of acute stress in infants undergoing percutaneous achilles tenotomy for clubfoot vs. peripheral line placement
spellingShingle Comparative study of acute stress in infants undergoing percutaneous achilles tenotomy for clubfoot vs. peripheral line placement
Ey Batlle, A.
Tendó d'Aquil·les
Dolor
Plor
Infants
Anestèsia local
Achilles tendon
Pain
Crying
Children
Local anesthesia
title_short Comparative study of acute stress in infants undergoing percutaneous achilles tenotomy for clubfoot vs. peripheral line placement
title_full Comparative study of acute stress in infants undergoing percutaneous achilles tenotomy for clubfoot vs. peripheral line placement
title_fullStr Comparative study of acute stress in infants undergoing percutaneous achilles tenotomy for clubfoot vs. peripheral line placement
title_full_unstemmed Comparative study of acute stress in infants undergoing percutaneous achilles tenotomy for clubfoot vs. peripheral line placement
title_sort Comparative study of acute stress in infants undergoing percutaneous achilles tenotomy for clubfoot vs. peripheral line placement
dc.creator.none.fl_str_mv Ey Batlle, A.
Jordán García, Iolanda
Miguez Gonzalez, Paula
Vinyals Rodríguez, Marta
author Ey Batlle, A.
author_facet Ey Batlle, A.
Jordán García, Iolanda
Miguez Gonzalez, Paula
Vinyals Rodríguez, Marta
author_role author
author2 Jordán García, Iolanda
Miguez Gonzalez, Paula
Vinyals Rodríguez, Marta
author2_role author
author
author
dc.subject.none.fl_str_mv Tendó d'Aquil·les
Dolor
Plor
Infants
Anestèsia local
Achilles tendon
Pain
Crying
Children
Local anesthesia
topic Tendó d'Aquil·les
Dolor
Plor
Infants
Anestèsia local
Achilles tendon
Pain
Crying
Children
Local anesthesia
description Introduction: Percutaneous tenotomy of the Achilles tendon is a procedure that is part of the Ponseti method for clubfoot correction. The need to apply general anesthesia or sedation for this procedure is controversial. The objective of this study is to compare the acute stress generated in infants by percutaneous Achilles tenotomy under local anesthesia vs. peripheral line placement. Material and methods: This cross-sectional study compares the discomfort experienced by 85 infants undergoing percutaneous Achilles tenotomy with local anesthesia with that experienced by 39 infants undergoing peripheral line placement. The following parameters were determined: the duration of the procedure, crying time, average crying intensity, and maximum crying intensity. Other data recorded included the infant's age and complications arising during the procedure. Results: The mean ages of these patients were 1.95 and 2.18 months, respectively. The following data were obtained: the mean duration of the procedure for Group A was 8.13 s and for Group B it was 127.43 s; the mean duration of crying for Group A was 84.24 s and for Group B it was 195.82 s; the mean intensity of crying for Group A was 88.99 dB and for Group B it was 100.98 dB; and the maximum crying intensity for Group A was 96.56 dB and for Group B it was 107.76 dB. Conclusions: Percutaneous Achilles tenotomy can be safely performed as an outpatient procedure, under local anesthesia. This method generates less discomfort than peripheral line placement.
publishDate 2024
dc.date.none.fl_str_mv 2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/222402
url https://hdl.handle.net/2445/222402
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.3390/children11060633
Children, 2024, vol. 11, num.6
https://doi.org/10.3390/children11060633
dc.rights.none.fl_str_mv cc-by (c) Ey Batlle, AM et al., 2024
http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by (c) Ey Batlle, AM et al., 2024
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv Articles publicats en revistes (Ciències Clíniques)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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