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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
2
0.75 cc/kg of 1/4% Marcaine
St. Louis Childrens Hospital
St Louis, Missouri, United States
Washington University
St Louis, Missouri, United States
Post-operative Pain Scores
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
Time frame: with in the first 24 hours
Post-operative Narcotic Use
We will be looking at the amount of narcotics used after surgery to see if there is a reduction in narcotic use
Time frame: within first 24 horus
Femur Fracture Healing
we will following patients to look at fracture healing post-operatively
Time frame: first year
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