Hematoma block for fracture reduction

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The hematoma block an effective alternative for fracture reduction in distal radius fractures.

BACKGROUND An alternative to general anesthesia was tested against hematoma block by a double-blind, randomized clinical trial in reduction of Colles fracture. METHOD 96 patients more than 18 years old with displaced fractures of distal radius were selected from 2007-2009 on the basis of: 1) informed consent; 2) no contraindication to any method of analgesia; 3) no associated injury. Patients...

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Retrobulbar Hematoma in Blow-Out Fracture after Open Reduction

Retrobulbar hemorrhage, especially when associated with visual loss, is a rare but significant complication after facial bone reconstruction. In this article, two cases of retrobulbar hematoma after surgical repair of blow-out fracture are reported. In one patient, permanent loss of vision was involved, but with the other patient, we were able to prevent this by performing immediate decompressi...

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Hematoma block versus sedation for the reduction of distal radius fractures in children.

PURPOSE To determine which mode of anesthesia, hematoma block (HB) or procedural sedation (PS), was preferable for distal radius fracture (DRF) reduction in children. METHODS Fifty-two children (mean age, 12 y; range, 5-16 y) presenting with DRFs requiring reduction were prospectively enrolled and offered either PS or HB for anesthesia. Following reduction, families completed a satisfaction s...

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Novel use of ultrasound in the ED: ultrasound-guided hematoma block of a proximal humeral fracture.

Proximal humeral fractures are a common injury after falls, particularly in the elderly population. An ultrasound-guided hematoma block is a novel technique for analgesia in cases when standard intravenous analgesia is not efficacious. We present a case in which ultrasound-guided hematoma block was the ideal method for adjunctive pain control in a patient with a comminuted humeral head fracture.

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Haematoma block or Bier's block for Colles' fracture reduction in the accident and emergency department--which is best?

OBJECTIVE To offer clear guidance on the anaesthetic management of Colles' fractures in the accident and emergency (A&E) department in the light of the conflict between existing reports and current trends, and to address the issue of alkalinisation of haematoma blocks. METHODS This was a two centre, prospective, randomised clinical trial with consecutive recruitment of adult patients with Col...

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ژورنال

عنوان ژورنال: Journal of Society of Surgeons of Nepal

سال: 2018

ISSN: 2392-4772,1815-3984

DOI: 10.3126/jssn.v21i2.24354