Pain Control Alternatives for Pediatric Distal Radius Fractures
This study is looking at different ways to manage pain in children aged 3 to 17 who have a broken wrist bone (distal radius fracture) that needs to be reset. Researchers are comparing three pain control methods: full sedation with ketamine, a combination of a hematoma block (an injection of numbing medicine near the fracture) and a small dose of ketamine, or a hematoma block combined with fentanyl nasal spray. The goal is to see which method is most effective at controlling pain and how satisfied patients are with their pain relief. The study plans to enroll 50 participants, but its current status is unclear.
- Study design
- This interventional study is comparing three different pain control methods in children. It plans to enroll 50 participants aged 3 to 17 years.
- What's involved
- Not specified in the trial record.
- Compensation
- Not stated in the trial record.
- Follow-up
- Pain control efficacy and patient satisfaction scores will be measured 1 hour after the fracture reduction is complete on the day of the procedure.
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Pain Control Alternatives in Pediatric Patients With Distal Radius Fractures
At a glance
Conditions
Where it's being run
1 sites across 1 statesWho to contact
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What this trial measures
- Pain control efficacy1 hour after fracture reduction is complete on the day of the procedure/study visit.
Including control group of patients treated with full ketamine sedation in setting of distal radius fracture reduction; randomization of patients deemed safe for full sedation to either control group, or one of two intervention groups including (group 1) hematoma block/minimal ketamine pain control (0.25mg/kg), and (group 2) intranasal fentanyl and hematoma block, utilized in the setting of distal radius fractures in pediatric patients requiring reduction. The investigators will be obtaining Visual Analog Scale (VAS) pain scores for each group to determine pain control efficacy and to compare between groups. This is a numeric pain scale with associated faces to help children determine their pain level, with 0 being "no pain" (with a smiley/happy face) and 10 being "most pain possible" (with a sad/crying face).
- Patient satisfaction scores1 hour after fracture reduction is complete on the day of the procedure/study visit.
Including control group of patients treated with full ketamine sedation in setting of distal radius fracture reduction; randomization of patients deemed safe for full sedation to either control group, or one of two intervention groups including (group 1) hematoma block/minimal ketamine pain control (0.25mg/kg), and (group 2) intranasal fentanyl and hematoma block, utilized in the setting of distal radius fractures in pediatric patients requiring reduction. The investigators will be obtaining patient satisfaction scores via a 5-point Likert scale to compare patient satisfaction between groups.