Comparison Effective Method of Hematoma Block (HB) Versus Intravenous Anesthesia (IA) onReduction of Distal end Radius Fracture in KasetwisaiHospital : A Randomized , Prospective Study
Keywords:
Hematoma block, Intravenous Anesthesia, Distal end radius fractureAbstract
Purposes : To compareHB and IA during reduction of displaced distal end radius fracture to identify the levelof pain relief
Study Design : A single-blinded randomized, Prospective studywas conducted.
Materials and Methods : All 36 ofpatients were randomly divided into two groups.
The experimental group (n = 18)received5 mL of 2% lidocaine were injected into the fracture site andthe control group (n = 18) received4 mg of morphine combine with 5 mg of diazepam were injected ver intravenous route. The fracture was manipulated after 15 minutes and the VisualAnalogue Scale (VAS) score was recorded before and during manipulation. Patients were followed up forapproximately 30 minutes and complications were recorded. Data were analyzed statistically using Independent samples test, statistically significant 95% Confidence interval.
Main findings : In this study we found the experimental group(HB)had higher mean scores of pain difference level thanthe control group(IA) was significantly differential (p<.001), there was difference value 2.17 (95% CI; 1.64, 2.96)and complications of each group found thatintravenous anesthesia group (IA) (control) 2 persons had nausea, 1 person vomits, and 1 elderly person hadsleep apnea . But no infection was found after 1 month of follow-up in both groups.
Conclusion and recommendations : The Hematoma block (HB) technique was efficiency significant differential to provides pain relief and reduce complication of morphine and diazepam usedduring manipulationof a displaced distal end radius fracture
References
Woranuch A, Pinyo T, Sangkomkamhang T. Effect of Hematoma Block Combined with IntravenousDiazepam versus Hematoma Block in Closed Colles’ Fracture . The Thai Journal of Orthopaedic Surgery. 2019;43(3-4):3-7.
MaleitzkeT, Plachel F, Fleckenstein FN, Wichlas F,Tsitsilonis S. Haematoma block: a safe method for presurgical reduction of distal radius fractures. Journal of Orthopaedic Surgery and Research. 2020;15(351):1-6.
Orbach H, Rozen N, Rinat B, Rubin G.Hematoma block for distal radius fractures prospective, randomized comparison of two different volumes of lidocaine. Journal of International Medical Research. 2018;46(11):4535–38.
Tseng PT, Leu TH, Chen YW, Chen YP.Hematoma block or procedural sedation and analgesia, whichis the most effective method of anesthesia in reduction of displaced distal radius fracture?.Journal of Orthopaedic Surgery and Research. 2018;13(1):62.
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