Examining the Efficacy of Femoral Nerve Block in Children With a Femoral Shaft Fracture
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 2
- 试验地点
- 2
- 主要终点
- Post-operative Pain Scores
研究概览
简要总结
The purpose of this study is to examine the efficacy of the use of Marcaine in femoral nerve blocks and hematoma blocks for post operative pain relief for femoral shaft fractures in a pediatric population.
详细描述
Children with femur fractures can have severe pain after elastic nail fixation. The current national standard for post operative pain control would be intravenous narcotics. In addition to the use of intravenous narcotics, there are two alternative methods used during the surgery in order to potentially decrease the pain post-operatively. These methods are hematoma block or a femoral nerve block. Both are proven safe and effective in children, however little research has been done to look at the effectiveness of these various methods compared to one another.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Triple (Participant, Care Provider, Outcomes Assessor)
入排标准
- 年龄范围
- 7 Years 至 14 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •A child with a femoral shaft fracture requiring surgical treatment and the placement of intramedullary nails
- •Weight of 30-100 Kg
- •Child must be older than 6 years old
排除标准
- •Any child that had an open fracture
- •A child that has a pain abnormality
- •Any child with an allergy to local anesthetic
- •Any child with a neurological injury
- •Any child with the inability to report pain
- •Any child that is unable to use a PCA post-operatively
研究组 & 干预措施
PCA and femoral nerve block
this group will be receiving a femoral nerve block during surgery and have a PCA post-operatively
干预措施: Marcaine (Drug)
PCA + hematoma block
patient will receive hematoma block during surgery
干预措施: Marcaine (Drug)
结局指标
主要结局
Post-operative Pain Scores
时间窗: with in the first 24 hours
We will be looking at post-operative pain scores to see if those in the intervention group have lower pains scores. Wong Baker FACES pain scale:The faces correspond to numeric values from 0-5. This scale can be documented with the numeric value. The pain scale goes from 0-5 with 0 being no pain and 5 being the worst pain. 0: No Hurt 1. Hurts a little bit 2. Hurts a little more 3. Hurts even more 4. Hurts a whole lot 5. Hurts worst
Post-operative Narcotic Use
时间窗: within first 24 horus
We will be looking at the amount of narcotics used after surgery to see if there is a reduction in narcotic use
次要结局
- Femur Fracture Healing(first year)