A Comparison of Pediatric Forearm Fracture Reduction Between Conscious Sedation and General Anesthesia
OBJECTIVES:The purpose of this study was to compare the outcomes of children whose fractures were manipulated with nitrous oxide with those fractures manipulated under a general anesthetic. DESIGN:We undertook a retrospective analysis of all children who presented to the emergency department with an...
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Veröffentlicht in: | Journal of orthopaedic trauma 2012-09, Vol.26 (9), p.550-555 |
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Format: | Artikel |
Sprache: | eng |
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Zusammenfassung: | OBJECTIVES:The purpose of this study was to compare the outcomes of children whose fractures were manipulated with nitrous oxide with those fractures manipulated under a general anesthetic.
DESIGN:We undertook a retrospective analysis of all children who presented to the emergency department with an angulated or displaced nonphyseal forearm fracture requiring manipulation over a 6-month period.
PATIENTS/PARTICIPANTS:Twenty-eight forearm fractures were manipulated using conscious sedation, whereas 27 were manipulated in the operating theatre under general anesthesia.
MAIN OUTCOME MEASUREMENTS:The quality of reduction, the Cast Index, Padding Index, and Canterbury Index were similar between the 2 groups.
RESULTS:There was a significant difference between the need for remanipulation in the nitrous oxide group (9) compared with the need for remanipulation in the theatre group (3).
CONCLUSIONS:Despite a higher failure, manipulation of fractures in the emergency department using conscious sedation can achieve an adequate reduction and a high quality of cast. Failures were due to inherently more unstable fracture personalities.
LEVEL OF EVIDENCE:Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence. |
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ISSN: | 0890-5339 1531-2291 |
DOI: | 10.1097/BOT.0b013e3182454ff8 |