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Pediatric emergency care · Feb 2012
Case ReportsUltrasound-guided femoral nerve block for pain control in an infant with a femur fracture due to nonaccidental trauma.
- Oron Frenkel, Karim Mansour, and Jason W J Fischer.
- Department of Emergency Medicine, Alameda County Medical Center, Oakland, CA 94602, USA. oron.frenkel@gmail.com
- Pediatr Emerg Care. 2012 Feb 1;28(2):183-4.
AbstractA 3-month-old infant girl was transferred to our emergency department (ED) with a subtrochanteric femoral neck fracture due to nonaccidental trauma. She received multiple doses of parenteral analgesics both before arrival and in our ED. We performed an ultrasound-guided femoral nerve block using 2.0 mL of 0.25% bupivicaine (approximately 1.25 mg/kg) before placing the patient in a Pavlik harness. Successful pain control was achieved within 15 minutes of the procedure allowing pain-free manipulation of the affected extremity. The patient required only a single dose of parenteral narcotics during the ensuing 18 hours. To our knowledge, this is the first report of an ultrasound-guided femoral nerve block used in the ED for pain control in a pediatric patient.
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