Using Hematoma Black along with Fentanyl to Fix the Acute Forearm Distal Fractures

Forearm distal fractures are of the most common Fractures in the upper organs. To fix such deformities, hematoma block approach can be applied. Less time, costs, and side effects are of the advantages of this approach, but in some cases a full paninlessness may not be achieved. Thus, The study was purposed to add intravenous phentanil to this approach to provide a better painlessness. Material &

In a clinical experimentation, 40 candidates For surgical refixation of acate forearm under hematoma block aenesthesia were randomly investigated in two case and report groups. Lido caine 1% at 1 mg/kg in the hematoma site and 0.5 mg/kg round the osteoloied angle + intravenous Normal salin (plasbo) was used. Then the same lideocaine dose + 2µg/kg of intravenous Phentanil (5 minutes before the blockage) was injected. Afterward, the patient's tensity was assessed during the injection and fixation.

Both the groups, were under the same condition regarding age and sex. The finds showed that the pain during blocking as well as fixation was significantly more intense in the report group than the case one (P= 0.001).

It is concluded that applying the hematoma block method along with intravenous Phentanil decrease the pain all during the blocking as well as fixation process significantly, So more accepted by referring patients.