Pain Control Alternatives in Pediatric Patients With Distal Radius Fractures

Pain Control Alternatives in Pediatric Patients With Distal Radius Fractures

The aim of this study is to evaluate the efficacy of a hematoma block and minimal ketamine pain control or hematoma block and intranasal fentanyl in pediatric patients presenting with distal radius fractures requiring reduction, compared to control of standard full conscious sedation using ketamine.

Inclusion Criteria:

• Children requiring reduction for distal radius fracture
• Children presenting to the emergency department
• Children who are ages 3 to 17 years.

Exclusion Criteria:

• Pediatric patients <3 years old
• Adult patients (i.e. ages 18 or up)
• Pediatric patients with injury patterns that are not amenable to hematoma block.
• Children who are not a candidate for sedation related to BMI > 95%tile for age, ASA class > 2, Mallampati score > 2, and pregnant patients