Hematoma Block as an Adjunct to Procedural Sedation for Forearm Fracture Reduction
| Status: | Terminated |
|---|---|
| Conditions: | Orthopedic |
| Therapuetic Areas: | Orthopedics / Podiatry |
| Healthy: | No |
| Age Range: | 3 - 17 |
| Updated: | 10/14/2017 |
| Start Date: | November 2005 |
| End Date: | September 2008 |
Hematoma Blocks in Forearm Fractures: An Effective Adjunct to Procedural Sedation?
The purpose of our study is to determine if the use of a hematoma block together with
intravenous sedation and analgesia is an effective means of managing forearm fractures in the
Emergency Department. To determine this, we have designed a randomized, double-blind, placebo
controlled trial of hematoma block versus saline for the manipulation of forearm fractures
under conscious sedation with ketamine and midazolam. Our hypotheses are two-fold: First, the
use of a hematoma block together with conscious sedation will allow for improved pain
control. Second, the use of a hematoma block together with conscious sedation will allow us
to use less sedation, therefore promoting faster recovery from sedation and more efficient
patient turnover in the Emergency Department.
intravenous sedation and analgesia is an effective means of managing forearm fractures in the
Emergency Department. To determine this, we have designed a randomized, double-blind, placebo
controlled trial of hematoma block versus saline for the manipulation of forearm fractures
under conscious sedation with ketamine and midazolam. Our hypotheses are two-fold: First, the
use of a hematoma block together with conscious sedation will allow for improved pain
control. Second, the use of a hematoma block together with conscious sedation will allow us
to use less sedation, therefore promoting faster recovery from sedation and more efficient
patient turnover in the Emergency Department.
Inclusion Criteria:
- English or Spanish speaking
- Ages 3-17
- Closed distal forearm fracture requiring reduction under sedation in the Emergency
Department
- Fracture involves the distal third of the forearm
Exclusion Criteria:
- Multiple trauma victims
- Associated nerve or vascular damage
- Associated elbow or humerus injury
- Sensitivity or allergy to lidocaine
- Contraindications to procedural sedation
- Previous attempts at reduction for the same injury
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