CYANOACRYLATE AS A METHOD OF WOUND CLOSURE IN PEDIATRIC EMERGENCIES. A DESCRIPTIVE STUDY, DEGREE OF ANXIETY AND AESTHETIC ACCEPTANCE OF THE RESULT

Introduction and objetives. Biological glues are substances with great adhesive power, used as an alternative for closing wounds with regular suturing, assuming a less traumatic technique, especially in pediatric patients. The study<acute accent>s aim is to describe the typical characteristics and the most frequent mechanisms of cyancrylate wounds, as well as the degree of patient satisfaction. Patients and methods. retrospective descriptive study on the characteristics of closed wounds with cyanoacrylate in pediatric patients for one year in a pediatric emergency department. Cross-sectional study by conducting a survey of parents on the degree of anxiety during the technique and the degree of satisfaction with it. Results. 123 wounds (median age 4 years) were included. 82% of the injuries were less than 2 cm. 95% of the wounds were on the face, half of them frontal. Five required closure later with a needle. 105 parents answered the survey. Results on the degree of perceived anxiety were low/very low in 95% of respondents. The degree of satisfaction with the aesthetic result was good/very good in 90% and bad/very bad in 10%. Conclusions. Cyanoacrylate was especially effective in wounds smaller than 2 cm in the frontal region of the face. The wounds of chin and extremity presented a more uneven aesthetic result. The level of anxiety of this procedure was low or very low, which is especially interesting, given the young age of the patients.