Manipulation and reduction of paediatric fractures of the distal radius and forearm using intranasal diamorphine and 50% oxygen and nitrous oxide in the emergency department
A retrospective study was performed in 100 children aged between two and 16 years, with a dorsally angulated stable fracture of the distal radius or forearm, who were treated with manipulation in the emergency department (ED) using intranasal diamorphine and 50% oxygen and nitrous oxide. Pre- and po...
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| Format: | Article |
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British Editorial Society of Bone and Joint Surgery
2016
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| Online Access: | https://eprints.nottingham.ac.uk/42780/ |
| _version_ | 1848796565992374272 |
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| author | Kurien, Thomas Price, K.R. Pearson, Richard G. Hunter, J.B. |
| author_facet | Kurien, Thomas Price, K.R. Pearson, Richard G. Hunter, J.B. |
| author_sort | Kurien, Thomas |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | A retrospective study was performed in 100 children aged between two and 16 years, with a dorsally angulated stable fracture of the distal radius or forearm, who were treated with manipulation in the emergency department (ED) using intranasal diamorphine and 50% oxygen and nitrous oxide. Pre- and post-manipulation radiographs, the final radiographs and the clinical notes were reviewed. A successful reduction was achieved in 90 fractures (90%) and only three children (3%) required remanipulation and Kirschner wire fixation or internal fixation.
The use of Entonox and intranasal diamorphine is safe and effective for the closed reduction of a stable paediatric fracture of the distal radius and forearm in the ED. By facilitating discharge on the same day, there is a substantial cost benefit to families and the NHS and we recommend this method. |
| first_indexed | 2025-11-14T19:50:01Z |
| format | Article |
| id | nottingham-42780 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T19:50:01Z |
| publishDate | 2016 |
| publisher | British Editorial Society of Bone and Joint Surgery |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-427802020-05-04T17:33:31Z https://eprints.nottingham.ac.uk/42780/ Manipulation and reduction of paediatric fractures of the distal radius and forearm using intranasal diamorphine and 50% oxygen and nitrous oxide in the emergency department Kurien, Thomas Price, K.R. Pearson, Richard G. Hunter, J.B. A retrospective study was performed in 100 children aged between two and 16 years, with a dorsally angulated stable fracture of the distal radius or forearm, who were treated with manipulation in the emergency department (ED) using intranasal diamorphine and 50% oxygen and nitrous oxide. Pre- and post-manipulation radiographs, the final radiographs and the clinical notes were reviewed. A successful reduction was achieved in 90 fractures (90%) and only three children (3%) required remanipulation and Kirschner wire fixation or internal fixation. The use of Entonox and intranasal diamorphine is safe and effective for the closed reduction of a stable paediatric fracture of the distal radius and forearm in the ED. By facilitating discharge on the same day, there is a substantial cost benefit to families and the NHS and we recommend this method. British Editorial Society of Bone and Joint Surgery 2016-01-05 Article PeerReviewed Kurien, Thomas, Price, K.R., Pearson, Richard G. and Hunter, J.B. (2016) Manipulation and reduction of paediatric fractures of the distal radius and forearm using intranasal diamorphine and 50% oxygen and nitrous oxide in the emergency department. Bone and Joint Journal, 98B (1). pp. 131-136. ISSN 2049-4408 http://www.bjj.boneandjoint.org.uk/content/98-B/1/131 doi:10.1302/0301-620X.98B1.36118 doi:10.1302/0301-620X.98B1.36118 |
| spellingShingle | Kurien, Thomas Price, K.R. Pearson, Richard G. Hunter, J.B. Manipulation and reduction of paediatric fractures of the distal radius and forearm using intranasal diamorphine and 50% oxygen and nitrous oxide in the emergency department |
| title | Manipulation and reduction of paediatric fractures of the distal radius and forearm using intranasal diamorphine and 50% oxygen and nitrous oxide in the emergency department |
| title_full | Manipulation and reduction of paediatric fractures of the distal radius and forearm using intranasal diamorphine and 50% oxygen and nitrous oxide in the emergency department |
| title_fullStr | Manipulation and reduction of paediatric fractures of the distal radius and forearm using intranasal diamorphine and 50% oxygen and nitrous oxide in the emergency department |
| title_full_unstemmed | Manipulation and reduction of paediatric fractures of the distal radius and forearm using intranasal diamorphine and 50% oxygen and nitrous oxide in the emergency department |
| title_short | Manipulation and reduction of paediatric fractures of the distal radius and forearm using intranasal diamorphine and 50% oxygen and nitrous oxide in the emergency department |
| title_sort | manipulation and reduction of paediatric fractures of the distal radius and forearm using intranasal diamorphine and 50% oxygen and nitrous oxide in the emergency department |
| url | https://eprints.nottingham.ac.uk/42780/ https://eprints.nottingham.ac.uk/42780/ https://eprints.nottingham.ac.uk/42780/ |