Clinical Practice Study
Copyright ©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Mar 18, 2018; 9(3): 50-57
Published online Mar 18, 2018. doi: 10.5312/wjo.v9.i3.50
Use of ketamine sedation for the management of displaced paediatric forearm fractures
Anatole Vilhelm Wiik, Poonam Patel, Joanna Bovis, Adele Cowper, Philip Socrates Pastides, Alison Hulme, Stuart Evans, Charles Stewart
Anatole Vilhelm Wiik, Department of Surgery and Cancer, Charing Cross Hospital, London W6 8RF, United Kingdom
Poonam Patel, Adele Cowper, Charles Stewart, Department of Paediatric Emergency, Chelsea and Westminster Hospital, London SW10 9NH, United Kingdo
Joanna Bovis, Philip Socrates Pastides, Alison Hulme, Stuart Evans, Department of Trauma and Orthopaedics, Chelsea Westminster Hospital, London SW10 9NH, United Kingdom
Author contributions: Wiik AV and Stewart C designed the study; Wiik AV and Stewart C collected the data; Wiik AV, Patel P, Bovis J and Cowper A analysed the results; Wiik AV, Patel P, Bovis J, Cowper A, Pastides PS, Hulme A, Evans S and Stewart C interpreted and wrote the report.
Institutional review board statement: This was a registered service improvement project at Chelsea Westminster hospital audit department (QIP LA-353). Ethical approval was not sought nor required as it was part of a service evaluation project for the paediatric emergency department at Chelsea Westminster hospital.
Informed consent statement: Informed consent was obtained prior to any treatment from the parent or guardian.
Conflict-of-interest statement: No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.
Data sharing statement: Dataset available from the corresponding author.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Anatole Vilhelm Wiik, BSc, MBBS, MD, Doctor, Lecturer, Department of Surgery and Cancer, Charing Cross Hospital, Fulham Place Road, London W6 8RF, United Kingdom. a.wiik@imperial.ac.uk
Telephone: +44-20-33130970 Fax: +44-20-33115218
Received: November 3, 2017
Peer-review started: November 4, 2017
First decision: December 27, 2017
Revised: January 4, 2018
Accepted: February 4, 2018
Article in press: February 5, 2018
Published online: March 18, 2018
Core Tip

Core tip: Displaced paediatric forearm fractures can be safely and effectively treated in the emergency department with ketamine procedural sedation.