{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T19:08:34Z","timestamp":1781291314921,"version":"3.54.1"},"reference-count":0,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"3","license":[{"start":{"date-parts":[[2001,4,1]],"date-time":"2001-04-01T00:00:00Z","timestamp":986083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2001,4]]},"abstract":"<jats:p> We have had experience of an 18-month-old boy with a cardiomyopathy who died a few minutes after removal of his cast with a saw, apparently from a malignant cardiac arrhythmia triggered by anxiety. We therefore examined the anxiety reaction to this method of removal of a plaster cast in 20 healthy children; ten were provided with hearing protectors and ten were not. The level of anxiety was assessed by measuring the heart rate, a known physiological indicator of anxiety, before, during and five minutes after removal of the cast. The noise level was also measured. The results showed a mean increase in heart rate during the procedure of 27.9 beats per minute (bpm) (26.9%) in the children with no hearing protectors and 10.4 bpm (11.1%) in children who used hearing protectors (p &lt; 0.001). Five minutes after the procedure the heart rate had returned to the baseline rate in all patients. <\/jats:p><jats:p> We recommend that hearing protectors should be used in children undergoing removal of a plaster cast to decrease the anxiety reaction. If possible, clinicians should avoid the use of a saw for this purpose in children with a cardiomyopathy. <\/jats:p>","DOI":"10.1302\/0301-620x.83b3.0830388","type":"journal-article","created":{"date-parts":[[2018,2,21]],"date-time":"2018-02-21T19:24:23Z","timestamp":1519241063000},"page":"388-390","source":"Crossref","is-referenced-by-count":58,"title":["Anxiety reaction in children during removal of their plaster cast with a saw"],"prefix":"10.1302","volume":"83-B","author":[{"given":"K.","family":"Katz","sequence":"first","affiliation":[{"name":"Orthopedic Surgery Unit"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Fogelman","sequence":"additional","affiliation":[{"name":"Institute of Cardiology"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Attias","sequence":"additional","affiliation":[{"name":"Institute for Clinical Neurophysiology and Audiology, Schneider Children\u2019s Medical Centre of Israel, (Beilinson Campus) Petah, Tiqva and Sackler School of Medicine, Tel Aviv, Israel."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Baron","sequence":"additional","affiliation":[{"name":"Orthopedic Surgery Unit"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Soudry","sequence":"additional","affiliation":[{"name":"Orthopedic Surgery Unit"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","container-title":["The Journal of Bone and Joint Surgery. British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.83B3.0830388","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.83B3.0830388","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T19:49:12Z","timestamp":1629143352000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.83B3.0830388"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2001,4]]},"references-count":0,"aliases":["10.1302\/0301-620x.83b3.10487"],"journal-issue":{"issue":"3","published-print":{"date-parts":[[2001,4]]}},"alternative-id":["10.1302\/0301-620X.83B3.0830388"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.83b3.0830388","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2001,4]]}}}