About this trial

The aim of this study is to evaluate the efficacy of a hematoma block and minimal ketamine pain control or hematoma block and intranasal fentanyl in pediatric patients presenting with distal radius fractures requiring reduction, compared to control of standard full conscious sedation using ketamine.

Eligibility criteria

Qualifiers

Children requiring reduction for distal radius fracture

Children presenting to the emergency department

Children who are ages 3 to 17 years.

Disqualifiers

Pediatric patients <3 years old

Adult patients (i.e. ages 18 or up)

Pediatric patients with injury patterns that are not amenable to hematoma block.

Children who are not a candidate for sedation related to BMI > 95%tile for age, ASA class > 2, Mallampati score > 2, and pregnant patients

Trial design

Treatments tested in this trial

  • Ketamine + Lidocaine
  • Ketamine group
  • Fentanyl (Nasalfent, Fentanyl Citrate Nasal Spray)

Treatment groups

50 Participants
are divided into 3 treatment groups

Locations

1
Oshei Children's Hospital14203, BuffaloNew York, United States

Sponsors and collaborators

State University of New York at Buffalo

Lead sponsor