Ketamine Sedation vs. General Anesthesia in Manipulating the Pediatric Forearm Fractures

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SCIENCE
Ketamine Sedation vs. General Anesthesia in Manipulating the Pediatric Forearm Fractures
Key Take-Away: 

The retrospective study highlights the use of ketamine as best suited anesthesia in the management of Pediatric Forearm Fractures when compared with general anesthesia.

Forearm fractures are one of the significant complication among children and adolescents.

ABSTRACT: 
Background: 

Forearm fractures are one of the significant complication among children and adolescents.

These fractures are managed by the medium of surgery, which needs a suitable anesthesia. The presented study aimed to compare the use of ketamine sedation and general anesthesia for manipulation of pediatric wrist and forearm fractures.

Methods: 

A retrospective analysis was performed including patients under 16 years treated at the single center between October 2014 and October 2015.

Patients with open fractures and fractures with complete displacement were excluded from the study. Outcomes measured were fracture reduction, the quality of the cast, fracture re-displacement, further surgical intervention and use of theatre time. A total of 66 children were manipulated over the study period; 31 received ketamine sedation and 35 general anesthesia.

Results: 

No statistically significant difference was found in the rate of re-intervention (p=0.48), quality of reduction (p=0.39), quality of cast (p=0.14 and p=0.21), or re-displacement (p=0.87).

Those undergoing general anesthesia used on average 50 minutes of theatre time and one third required an overnight admission.

Conclusion: 

Ketamine sedation achieved the comparable treatment outcomes to general anesthesia while using fewer resources.

Source:

Acta Orthopaedica Belgica

Link to the source:

http://www.actaorthopaedica.be/acta/article.asplang=en&navid=114&id=15781&mod=Acta

The original title of the article:

A comparison of ketamine sedation and general anesthesia for manipulation of pediatric forearm fractures

Authors:

Peiter Gozali et al.

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