Ultrasound-guided femoral nerve block for pain control in an infant with a femur fracture due to nonaccidental trauma.
Pediatr Emerg Care
; 28(2): 183-4, 2012 Feb.
Article
em En
| MEDLINE
| ID: mdl-22307191
A 3-month-old infant girl was transferred to our emergency department (ED) with a subtrochanteric femoral neck fracture due to nonaccidental trauma. She received multiple doses of parenteral analgesics both before arrival and in our ED. We performed an ultrasound-guided femoral nerve block using 2.0 mL of 0.25% bupivicaine (approximately 1.25 mg/kg) before placing the patient in a Pavlik harness. Successful pain control was achieved within 15 minutes of the procedure allowing pain-free manipulation of the affected extremity. The patient required only a single dose of parenteral narcotics during the ensuing 18 hours. To our knowledge, this is the first report of an ultrasound-guided femoral nerve block used in the ED for pain control in a pediatric patient.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Maus-Tratos Infantis
/
Ultrassonografia de Intervenção
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Fraturas do Colo Femoral
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Nervo Femoral
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Dor Aguda
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Dor Musculoesquelética
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Fraturas Fechadas
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Analgesia
/
Bloqueio Nervoso
Tipo de estudo:
Diagnostic_studies
Limite:
Female
/
Humans
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Infant
Idioma:
En
Ano de publicação:
2012
Tipo de documento:
Article