Frenkel Oron, Mansour Karim, Fischer Jason W J
Department of Emergency Medicine, Alameda County Medical Center, Oakland, CA 94602, USA.
Pediatr Emerg Care. 2012 Feb;28(2):183-4. doi: 10.1097/PEC.0b013e3182447ea3.
A 3-month-old infant girl was transferred to our emergency department (ED) with a subtrochanteric femoral neck fracture due to nonaccidental trauma. She received multiple doses of parenteral analgesics both before arrival and in our ED. We performed an ultrasound-guided femoral nerve block using 2.0 mL of 0.25% bupivicaine (approximately 1.25 mg/kg) before placing the patient in a Pavlik harness. Successful pain control was achieved within 15 minutes of the procedure allowing pain-free manipulation of the affected extremity. The patient required only a single dose of parenteral narcotics during the ensuing 18 hours. To our knowledge, this is the first report of an ultrasound-guided femoral nerve block used in the ED for pain control in a pediatric patient.
一名3个月大的女婴因非意外创伤导致股骨转子下股骨颈骨折，被转送至我们的急诊科。在到达之前以及在我们急诊科期间，她接受了多剂肠胃外镇痛药。在将患者放入帕夫利克吊带之前，我们使用2.0毫升0.25%布比卡因（约1.25毫克/千克）进行了超声引导下的股神经阻滞。在该操作的15分钟内成功实现了疼痛控制，使得能够对患侧肢体进行无痛操作。在随后的18小时内，患者仅需一剂肠胃外麻醉药。据我们所知，这是超声引导下股神经阻滞在急诊科用于儿科患者疼痛控制的首例报告。
