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Intra–articular lidocaine compared to intravenous sedation for reduction of shoulder dislocation | ||
| Medical Journal of Tikrit | ||
| Article 1, Volume 1, Issue 171, 2012, Pages 138-145 | ||
| Author | ||
| ZAHID ABDUL-HAMEED AHMED ZAHID ABDUL-HAMEED AHMED | ||
| Abstract | ||
| Acute shoulder dislocations (Acute glenohumeral dislocations) have been treated by different methods commonly by closed reduction and the use of Intravenous sedation . Recently . the use of Intra articular lidocaine has been used as alternative. The purpose of this study is to evaluate the value of local intra – articular Anesthesia using Lidocaine ( xylocaine) compared with commonly used I.V sedation using (Midazolam + Fentanyl) during the performance of a standardized reduction technique. In a Randomized prospective study 48 skeletally mature patients with isolated glenohumeral Joint dislocation with no associated fracture were randomized to either Intravenous sedation or intra-articular lidocaine in order to facilitate the reduction of the dislocation. By Using the modified stempson gravity method reduction was per formed. The two groups were compared with regard to successful reduction , pain graded on visual analog scale, time required for reduction, time required from reduction until discharge from the emergency room and the cost of each . Conclusions: The use of intra-articular lidocaine to facilitate reduction is a safe effective method for treating Acute glenohumeral dislocation in the emergency room. Intra articular lidocaine require less money , time , and nursing resources than does Intravenous sedation to facilitate reduction. in addition to much less complications compared with the serious complications that can happen with intravenous sedation . | ||
| Keywords | ||
| Intra | ||
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