Kriwanek et al. [14] |
ED Children with forearm fractures |
AXB vs. deep sedation (midazolam/ ketamine) for fracture reduction |
41 |
Y |
N |
Procedural pain and distress during fracture reduction (assessed by a pediatric nurse) |
No differences in procedural pain/ distress.
No differences in orthopedic/ patient satisfaction. |
Transarterial technique used for AXB.
AXB performed by ED physicians.
AXB: 20% failure rate (patients had residual pain sensation during sensory testing or required supplemental
analgesia during fracture manipulation). |