{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T14:50:47Z","timestamp":1782485447765,"version":"3.54.5"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p>Distal forearm fractures are frequently encountered in the pediatric emergency department and often require reduction. Procedural sedation is commonly used to facilitate reduction of these injuries, although it can be associated with potentially severe complications, particularly in patients with cardiorespiratory comorbidities. The ultrasound-guided hematoma block has been gaining popularity as an analgesic alternative in adult patients, but literature supporting its use in pediatric patients is limited. We describe a point-of-care ultrasound-guided hematoma block used to facilitate successful reduction of a distal radius fracture in an adolescent patient with a history of a difficult airway for whom procedural sedation would have posed considerable risk.<\/jats:p>","DOI":"10.1097\/pec.0000000000003268","type":"journal-article","created":{"date-parts":[[2024,8,23]],"date-time":"2024-08-23T05:57:25Z","timestamp":1724392645000},"page":"143-145","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Ultrasound-Guided Hematoma Block for Distal Forearm Fracture Reduction in Adolescent With History of Difficult Airway"],"prefix":"10.1097","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0772-1559","authenticated-orcid":false,"given":"Richard J.","family":"Gawel","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron E.","family":"Chen","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine, Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, PA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,8,23]]},"reference":[{"key":"bib1-20250130","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1016\/j.jhsa.2014.08.039","article-title":"Hematoma block versus sedation for the reduction of distal radius fractures in children","volume":"40","year":"2015","journal-title":"J Hand Surg"},{"key":"bib2-20250130","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1016\/j.jemermed.2014.09.063","article-title":"Ultrasound-guided hematoma block for distal radial and ulnar fractures","volume":"48","year":"2015","journal-title":"J Emerg Med"},{"key":"bib3-20250130","doi-asserted-by":"crossref","first-page":"558","DOI":"10.1016\/j.annemergmed.2006.04.014","article-title":"Feasibility of forearm ultrasonography-guided nerve blocks of the radial, ulnar, and median nerves for hand procedures in the emergency department","volume":"48","year":"2006","journal-title":"Ann Emerg Med"},{"key":"bib4-20250130","doi-asserted-by":"crossref","first-page":"474","DOI":"10.1136\/emermed-2013-202485","article-title":"Ultrasound-guided hematoma block in distal radial fracture reduction: a randomised clinical trial","volume":"32","year":"2015","journal-title":"Emerg Med J"},{"key":"bib5-20250130","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1097\/PEC.0000000000002412","article-title":"Point-of-care ultrasound-guided hematoma block for forearm fracture reduction","volume":"37","year":"2021","journal-title":"Pediatr Emer Care"},{"key":"bib6-20250130","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1007\/s00068-022-02078-8","article-title":"Circumferential periosteal block versus hematoma block for the reduction of distal radius and ulna fractures: a randomized controlled trial","volume":"49","year":"2023","journal-title":"Eur J Trauma Emerg Surg"},{"key":"bib7-20250130","first-page":"e124","article-title":"Ultrasound-guided nerve blocks as analgesia for nonoperative Management of Distal Radius Fractures\u2013two Consecutive Randomized Controlled Trials","volume":"33","year":"2019","journal-title":"Orthop Trauma"}],"container-title":["Pediatric Emergency Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/PEC.0000000000003268","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,30]],"date-time":"2025-01-30T19:00:09Z","timestamp":1738263609000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/PEC.0000000000003268"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2024,8,23]]},"references-count":7,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.1097\/pec.0000000000003268","relation":{},"ISSN":["1535-1815","0749-5161"],"issn-type":[{"value":"1535-1815","type":"electronic"},{"value":"0749-5161","type":"print"}],"subject":[],"published":{"date-parts":[[2024,8,23]]}}}