NCT07120763PHASE3Recruiting
Pain Control Alternatives in Pediatric Patients With Distal Radius Fractures
State University of New York at Buffalo
Start Date
8/22/2025
Completion Date
8/22/2027
Summary
The aim of this study is to evaluate the efficacy of a hematoma block and minimal ketamine pain control or hematoma block and intranasal fentanyl in pediatric patients presenting with distal radius fractures requiring reduction, compared to control of standard full conscious sedation using ketamine.
Eligibility Criteria
Age Range: 3 years to 17 years
Inclusion Criteria:
* Children requiring reduction for distal radius fracture
* Children presenting to the emergency department
* Children who are ages 3 to 17 years.
Exclusion Criteria:
* Pediatric patients \<3 years old
* Adult patients (i.e. ages 18 or up)
* Pediatric patients with injury patterns that are not amenable to hematoma block.
* Children who are not a candidate for sedation related to BMI \> 95%tile for age, ASA class \> 2, Mallampati score \> 2, and pregnant patients
Interventions
DRUG
Ketamine + Lidocaine
DRUG
Ketamine group
DRUG
Fentanyl (Nasalfent, Fentanyl Citrate Nasal Spray)
Conditions
Distal Radius Fracture ReductionPain ControlPediatric Fractures
Locations
Oshei Children's Hospital
Buffalo, New York 14203
United States