NCT00763880

Hematoma Block as an Adjunct to Procedural Sedation for Forearm Fracture Reduction

Hematoma Blocks in Forearm Fractures: An Effective Adjunct to Procedural Sedation?

• Status: Terminated
• Phase: Phase 4
• Study type: Interventional
• Enrollment: 89 (actual)
• Sponsor: Rhode Island Hospital · Academic / Other
• Sex: All
• Age: 3 Years – 17 Years
• Healthy volunteers: Accepted

Summary

The purpose of our study is to determine if the use of a hematoma block together with intravenous sedation and analgesia is an effective means of managing forearm fractures in the Emergency Department. To determine this, we have designed a randomized, double-blind, placebo controlled trial of hematoma block versus saline for the manipulation of forearm fractures under conscious sedation with ketamine and midazolam. Our hypotheses are two-fold: First, the use of a hematoma block together with conscious sedation will allow for improved pain control. Second, the use of a hematoma block together with conscious sedation will allow us to use less sedation, therefore promoting faster recovery from sedation and more efficient patient turnover in the Emergency Department.

Conditions

• Forearm Fracture

Interventions

Type	Name	Description
DRUG	Lidocaine	2% Lidocaine (no epinephrine) in the dose of 2.5 mg/kg to a maximum of 10mL will be instilled once into the fracture site in the form of a hematoma block.
DRUG	Saline	Volume of normal saline equivalent to providing 2.5mg/kg of 2% lidocaine, to a maximum of 10mL.

Timeline

• Start date: 2005-11-01
• Primary completion: 2008-09-01
• Completion: 2008-09-01
• First posted: 2008-10-01
• Last updated: 2013-11-19

Locations

1 site across 1 country: United States