The Post-Operative Pain Management of Pediatric Supracondylar Elbow Fractures
Elbow Fracture
About this trial
This is an interventional treatment trial for Elbow Fracture focused on measuring elbow fracture, supracondylar elbow fracture, elbow, fracture, pain management, pediatric
Eligibility Criteria
Inclusion Criteria:
- ASA class I, II or III
- Patients 4-12 years old requiring general anesthesia for closed reduction and percutaneous pinning (CRPP) of supracondylar type elbow fractures (SCEFx).
- Patients able to understand and report their pain with the Faces Pain Scale Revised
Exclusion Criteria:
- Medical contraindications to analgesic therapy.
- Known allergy or sensitivity to analgesic agent.
- Clinical evidence of skin inflammation precluding the 'clean' area at the site of injection.
- Patients lacking the cognitive understanding to report their pain with the FSP-R (unable to complete seriation task).
- Patients necessitating open reduction due to inability to obtain an acceptable closed reduction.
- Comorbid diagnosis of other traumatic injury that causes any local and or global pain.
- Patients presenting to ER with neurovascular injury or compartment syndrome due to fracture.
- For patients in either of the two intervention arms, if after three attempts, the intraarticular injection is not successful, the patient will be dropped from the study.
- Patients admitted for complications directly related to the surgery will be dropped from analysis. Any such event will be immediately reported to COMIRB with in five business days. However, patients admitted due to a late afternoon/evening surgery and patients admitted for standard observational purposes unrelated to surgical complications, will not be dropped from the study.
- Known drug allergy to oxycodone and or acetaminophen.
- Children 4-7 years old weighing less than 14 kg (Weight exclusion criteria is based on a 4 year old female that is below the fifth percentile for weight, per the Center for Disease Control Growth Charts).
- Children 8-12 years old weighing less than 20 kg (Weight exclusion criteria based on an 8 year old female that is below the fifth percentile for weight, per the Center for Disease Control Growth Charts).
Sites / Locations
- The Children's Hospital
Arms of the Study
Arm 1
Arm 2
Arm 3
Active Comparator
Active Comparator
Active Comparator
The group receiving oral pain medicine
The group receiving bupivacaine and oral pain medicine
The group receiving ropivacaine and oral pain medicine
This group will receive Oxycodone with Acetaminophen orally
This group will receive an intra-articular shot during surgery and will then be sent to the recovery room to receive pain medication as needed.
This group will receive an intra-articular shot of ropivacaine during surgery and will be sent to the recovery room to receive pain medicine as needed.