title: Postoperative pain and the use of ultrasound-guided regional analgesia in pediatric supracondylar humerus fractures.
abstract: A total of 230 children undergoing closed reduction and percutaneous pinning of supracondylar humerus fractures were analyzed retrospectively. Severe pain (score ≥ 7/10) was reported in 10% of general anesthesia-only patients in the postanesthesia care unit and in 28% of the 130 admitted patients. The 36 patients who received ultrasound-guided regional analgesia+general anesthesia had decreased intraoperative opioid consumption and postanesthesia care unit pain scores. After admission, pain scores and opioid consumption did not differ between fracture and anesthesia types. No patient developed compartment syndrome. Severe pain is frequent after closed reduction and percutaneous pinning of supracondylar humerus fractures. Further study of ultrasound-guided regional analgesia is needed.
authors.affiliation: aDepartment of Anesthesiology, Texas Children's Hospital bDepartment of Pediatrics, Baylor College of Medicine cDepartment of Student Affairs, Baylor College of Medicine, Texas Children's Hospital dDepartment of Orthopedics, Baylor College of Medicine, Texas Children's Hospital, Houston, Texas, USA.
authors.forename: Chris D
authors.initials: CD
authors.lastname: Glover
authors.forename: Jonathan S
authors.initials: JS
authors.lastname: Paek
authors.forename: Nihar
authors.initials: N
authors.lastname: Patel
authors.forename: Peter
authors.initials: P
authors.lastname: Manyang
authors.forename: Scott D
authors.initials: SD
authors.lastname: McKay
authors.forename: Mehernoor
authors.initials: M
authors.lastname: Watcha
mesh_terms: D000698:Analgesia / Q000379:methods*; D000765:Anesthesia, Conduction / Q000706:statistics & numerical data*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D006810:Humeral Fractures / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D010147:Pain Measurement / Q000187:drug effects / Q000379:methods*; D010149:Postoperative Pain / Q000175:diagnosis / Q000517:prevention & control*; D012189:Retrospective Studies; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional / Q000706:statistics & numerical data*