![]() In this randomized, single center, prospective study the investigators will evaluate the analgesic effectiveness of intraarticular injections of local anesthesia during the closed reduction and percutaneous pinning (CRPP) of supracondylar type elbow fractures (SCEFx) in children. ![]() Purpose: In recent years, despite the lack of consistent evidence, the use of intraarticular (into the joint)injections during ambulatory, orthopaedic surgery has become a popular strategy for reducing post-operative pain. Condition or diseaseĭrug: Oxycodone with Acetaminophen Drug: Bupivacaine 0.25% Drug: Ropivacaine 0.20% All drugs used in this study will be used in a way that is considered to be safe and reasonable by the Children's Hospital. However, nearly 7 out of every 10 drugs approved for adults are not specifically approved by the FDA for use in children. All the drugs used this study are approved by the FDA for use in adults but they are not specifically approved for use in children. The correct dosages of all drugs will be safely prescribed by the doctor on an individual basis and all drugs will be used under the careful watch of your attending physician. Your participation will help us find out which of these three pain control methods works the best. with oral pain medicine and an intraarticular shot of ropivacaine (another "numbing" drug).with oral pain medicine and an intraarticular shot (a shot into the elbow joint) of bupivacaine (a "numbing" drug) or.In this study, pain will be treated in one of the following ways: Currently, despite the common occurrence of this surgery, there is not a standard way to treat and or prevent any of the pain afterwards.Īt this hospital, oral (take by mouth) pain medicine is commonly used to treat pain after this surgery. Like any other surgery, you can expect that you will feel pain in the hours or days after the operation. This type of fracture occurs when the humerus (upper arm bone) is broken just above the elbow. This research study involves subjects who have a supracondylar elbow fracture and need surgery. The goal of this study is to compare different ways of treating pain after surgery. Why Should I Register and Submit Results?.The fentanyl consumption was higher intraoperatively and rescue analgesic doses were more in group I.Ĭonclusion: USG guided brachial plexus block is an excellent and effective means for analgesia in CRPP for supracondylar fracture with lower intraoperative Opioid consumption and better postoperative analgesia, lower pain scores and Opioid consumption in first 24 hour post operative period. Duration of analgesia was significantly higher (746.6±40.2 min) and mean pain scores lower in first 24 hour. The incidence of PONV was 24% (group I) and 16% (GroupII). Time to first dose of analgesia after surgery in the group I was 54.8±5.4 min and 746.6±40.2 min (p<0.001). Results: Demographic data were similar in both groups (I and II). ![]() Methods: A total of 50 paediatric patients were included who were to undergo CRPP and divided into two groups Group I- General anaesthesia alone (n = 25), Group II- General anaesthesia with USG guided supraclavicular brachial plexus block studied for the intraoperative opioid consumption as well as postoperative analgesia quality, duration and Opioid consumption. Regional anesthesia may represent one of the best solutions for intraoperative and postoperative paediatric pain management however, due to lack of proficiency and the increased risk of complications in children and difficulty in obtaining cooperation compared to adults, it is not the method of choice for most of the anesthesiologists in children. Background: Supracondylar fracture of the humerus is one of the commonly encountered injuries in paediatric age group accounting for 16% of all paediatric fractures and 60% of all paediatric elbow fractures, classically occurring as a result of fall on an outstretched hand. ![]()
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