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Pediatric emergency care · Aug 2024
Ultrasound-Guided Hematoma Block for Distal Forearm Fracture Reduction in Adolescent With History of Difficult Airway: A Case Report.
- Richard J Gawel and Aaron E Chen.
- From the Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA.
- Pediatr Emerg Care. 2024 Aug 23.
AbstractDistal forearm fractures are frequently encountered in the pediatric emergency department and often require reduction. Procedural sedation is commonly used to facilitate reduction of these injuries, although it can be associated with potentially severe complications, particularly in patients with cardiorespiratory comorbidities. The ultrasound-guided hematoma block has been gaining popularity as an analgesic alternative in adult patients, but literature supporting its use in pediatric patients is limited. We describe a point-of-care ultrasound-guided hematoma block used to facilitate successful reduction of a distal radius fracture in an adolescent patient with a history of a difficult airway for whom procedural sedation would have posed considerable risk.Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.
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