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Pediatric Drugs
Erschienen in: Pediatric Drugs 1/2004

01.01.2004 | Therapy In Practice

Emergency Department Management of Pain and Anxiety Related to Orthopedic Fracture Care

A Guide to Analgesic Techniques and Procedural Sedation in Children

verfasst von: Dr Robert M. Kennedy, Jan D. Luhmann, Scott J. Luhmann

Erschienen in: Pediatric Drugs | Ausgabe 1/2004

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Abstract

Orthopedic fractures and joint dislocations are among the most painful pediatric emergencies. Safe and effective management of fracture-related pain and anxiety in the emergency department reduces patient distress during initial evaluation and often allows definitive management of the fracture. No consensus exists on which pharmacologic regimens for procedural sedation/analgesia are safest and most effective. For some children, control of fracture pain is the primary goal, whereas for others, relief from anxiety is an additionally important objective. Furthermore, strategies for the management of fracture pain may vary by fracture location and patient characteristics; thus, no single regimen is likely to provide the best means of analgesia and anxiolysis for all patients.
Effective analgesia can be provided by local or regional anesthesia, such as hematoma, Bier, or nerve blocks. Alternatively, induction of deep sedation with analgesic agents such as ketamine or fentanyl, often combined with sedative-anxiolytic agents such as midazolam, may be used to manage distress associated with fracture reduction. A combination of local anesthesia with moderate sedation, for example nitrous oxide, is another attractive option.
Fußnoten
1
The use of tradenames is for product identification purposes only and does not imply endorsement.
 
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Metadaten
Titel
Emergency Department Management of Pain and Anxiety Related to Orthopedic Fracture Care
A Guide to Analgesic Techniques and Procedural Sedation in Children
verfasst von
Dr Robert M. Kennedy
Jan D. Luhmann
Scott J. Luhmann
Publikationsdatum
01.01.2004
Verlag
Springer International Publishing
Erschienen in
Pediatric Drugs / Ausgabe 1/2004
Print ISSN: 1174-5878
Elektronische ISSN: 1179-2019
DOI
https://doi.org/10.2165/00148581-200406010-00002

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