Reduction of Acute Anterior Shoulder Dislocation under a Narcotic Saves More Service Time in an Emergency Room than Combined Narcotic and Sedation

Authors

  • Thos Harnroongroj Department of Orthopedics Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700
  • Jittisak Timjang Department of Orthopedics Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700
  • Rongras Damrongwatanasuk Department of Orthopedics Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700
  • Thossart Harnroongroj Department of Orthopedics Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700

Keywords:

Acute anterior shoulder dislocation; narcotic; sedation; post-reduction service time; emergency room

Abstract

Objective: To compare the post-reduction service time between using a narcotic and combination of a narcotic with sedative drugs for reduction of acute anterior shoulder dislocation.
Methods: Between 2004-2010, medical records and radiographs of patients who sustained acute anterior shoulder dislocation and obtained the successful reduction under sedation were reviewed. The patients were divided into 2 groups. Group 1, reduction was done under either intravenous morphine or pethidine and group 2, under either intravenous morphine or pethidine combined with diazepam. Post-reduction service times were recorded. The statistically significant difference was considered at p ≤ 0.05.
Results: 42 patients were divided to 2 groups (21 patients in each group). The mean post-reduction service time of group 1 was 62.10 (SD = 31.42) and group 2 was 87.57 (SD = 32.07) minutes. The statistical analysis showed that group 1 significantly spent 25.47 minutes less post-reduction service time than group 2 (p = 0.013).
Conclusion: Reduction of acute anterior shoulder dislocation under a narcotic significantly uses shorter post-reduction service time than under a combination of a narcotic with sedative drug in the emergency room.

References

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Published

03-04-2020

How to Cite

Harnroongroj, T. ., Timjang, J. ., Damrongwatanasuk, R. ., & Harnroongroj, T. . (2020). Reduction of Acute Anterior Shoulder Dislocation under a Narcotic Saves More Service Time in an Emergency Room than Combined Narcotic and Sedation. Siriraj Medical Journal, 63(3), 73–75. Retrieved from https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/240913

Issue

Vol. 63 No. 3 (2011): May -June

Section

Original Article

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