Acta Ortopédica Mexicana

Trueba DC, Pozzo BA, Gil OF
Intra-articular lidocaine vs intravenous sedation as analgesic method for reduction of the shoulder dislocation
Acta Ortop Mex 2003; 17 (5)

Language: Español
References: 11
Page: 225-228
PDF: 40.54 Kb.

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ABSTRACT

Reduction in acute anterior glenohumeral dislocation is an usual procedure in the Emergency Departments and it is performed under intravenous sedation; patients that could not obtain peripheral venous access or sedation was contraindicated was the reason to make this study. We performed a prospective and randomized study, 2 groups of 17 patients were designed, the first group received 20 ml of 1% lidocaine and the other group, intravenous injection of propofol 1 mg/kg. Our results were, in the first group 14 of 17 patients had a successful reduction whereas all 17 of the second group had a successful reduction, time of reduction maneuver and difficulty of reduction were easier and faster in the sedation group but no statistically significant p › 0.05, subjective pain didn’t show difference p ‹ 0.05, time spent in the Emergency Department between both groups showed 47.4 min in the first and 118.4 min in the other p ‹ 0.05, and the costs in both were really different. We consider that intra-articular lidocaine in this type of injuries is a useful and safe method with a low index of complications, it cost less and should be the method of choice when intravenous sedation needs to be avoided.


Key words: shoulder dislocation, lidocaine, injection intra-articular, anesthesia, intravenous.


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