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Master Thesis

Approches thérapeutiques utilisées pour la réduction des fractures déplacées ou luxations dans un service d’urgences pédiatriques : une étude descriptive prospective

Abstract : Background: Fracture reduction is a common painful procedure in pediatric emergency departments. This allows to avoid a surgical procedure, but no standard of care exists for the management of pain relief. Objective: The purpose of this study was to describe drugs commonly used for manual reductions in our center and the comparison of their antalgic effect. Methods: A prospective, monocentric, observational study of children aged 4 to 18 with fractures or dislocations was performed in pediatric emergencies for 10 months (August 2020 – June 2021). A pain evaluation was performed 30 minutes before and after reduction. Results: 125 patients were enrolled. Indications for reduction included 116 fractures and 9 dislocations. The main medication used was morphine. Several medications were given in 87 patients. Recommended posology was respected. It seems there was no pain reduction difference regardless of the drug administered. Conclusion: Drugs used for pediatric orthopedic reductions in the ED in our center are administered at recommended posology, sure and efficient. We aim to perform a further study to analyze a pain reduction difference in drugs used in our unit, to improve pain management in pediatric emergency departments as pediatric traumatology is an increasing public health issue.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03345542
Contributor : Jean-Hugues Morneau Connect in order to contact the contributor
Submitted on : Wednesday, September 15, 2021 - 4:11:43 PM
Last modification on : Friday, September 17, 2021 - 3:21:43 AM

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  • HAL Id : dumas-03345542, version 1

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Alexandre Revol. Approches thérapeutiques utilisées pour la réduction des fractures déplacées ou luxations dans un service d’urgences pédiatriques : une étude descriptive prospective. Médecine humaine et pathologie. 2021. ⟨dumas-03345542⟩

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