Hematoma Block as an Adjunct to Procedural Sedation for Forearm Fracture Reduction

• Status: Terminated
• Trial end date: 2008-09-01
• Target enrollment: 0
• Participant gender: All

Summary

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.

• Phase: Phase 4
• Accepts Healthy Volunteers?: Accepts Healthy Volunteers

Details

• Lead Sponsor: Rhode Island Hospital
• Treatments: Lidocaine

Criteria

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