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Войти в исследования Journal of orthopaedic trauma · 2012
A comparison of pediatric forearm fracture reduction between conscious sedation and general anesthesia.
Сравнительное исследованиеСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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McKenna Paul, Leonard Mike, Connolly Paul, Boran Sinead, McCormack Damian
Аннотация
OBJECTIVES: The purpose of this study was to compare the outcomes of children whose fractures were manipulated with nitrous oxide with those fractures manipulated under a general anesthetic.
DESIGN: We undertook a retrospective analysis of all children who presented to the emergency department with an angulated or displaced nonphyseal forearm fracture requiring manipulation over a 6-month period.
PATIENTS/PARTICIPANTS: Twenty-eight forearm fractures were manipulated using conscious sedation, whereas 27 were manipulated in the operating theatre under general anesthesia.
MAIN OUTCOME MEASUREMENTS: The quality of reduction, the Cast Index, Padding Index, and Canterbury Index were similar between the 2 groups.
RESULTS: There was a significant difference between the need for remanipulation in the nitrous oxide group (9) compared with the need for remanipulation in the theatre group (3).
CONCLUSIONS: Despite a higher failure, manipulation of fractures in the emergency department using conscious sedation can achieve an adequate reduction and a high quality of cast. Failures were due to inherently more unstable fracture personalities.
LEVEL OF EVIDENCE: Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
DESIGN: We undertook a retrospective analysis of all children who presented to the emergency department with an angulated or displaced nonphyseal forearm fracture requiring manipulation over a 6-month period.
PATIENTS/PARTICIPANTS: Twenty-eight forearm fractures were manipulated using conscious sedation, whereas 27 were manipulated in the operating theatre under general anesthesia.
MAIN OUTCOME MEASUREMENTS: The quality of reduction, the Cast Index, Padding Index, and Canterbury Index were similar between the 2 groups.
RESULTS: There was a significant difference between the need for remanipulation in the nitrous oxide group (9) compared with the need for remanipulation in the theatre group (3).
CONCLUSIONS: Despite a higher failure, manipulation of fractures in the emergency department using conscious sedation can achieve an adequate reduction and a high quality of cast. Failures were due to inherently more unstable fracture personalities.
LEVEL OF EVIDENCE: Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.