PMID: 11932085Apr 5, 2002Paper

Comparative study of intra-articular lidocaine and intravenous meperidine/diazepam for shoulder dislocations

The Journal of Emergency Medicine
Michael OrlinskyPaul Carter

Abstract

The purpose of this study was to compare the analgesic effectiveness of intra-articular lidocaine versus intravenous meperidine and diazepam during the reduction of anterior shoulder dislocations. Patients were randomized to one of the two methods before the reduction of shoulder dislocations. Patients marked a visual analog pain scale at baseline, after anesthesia just before reduction, and at the time of discharge. Interference with the procedure caused by pain or lack of muscle relaxation, perception of adequacy of analgesia by the patient, adverse effects, and time to discharge from the Emergency Department (ED) were measured. Differences of outcomes, relative risks (RR), and 95% confidence intervals (CIs) were derived. Fifty-four patients with anterior shoulder dislocations presenting from May 21, 1998 through January 21, 1999 were included in this study; 29 were randomly assigned to receive intra-articular lidocaine (IAL) and 25 to receive intravenous meperidine/diazepam (IVMD). IAL was less effective than IVMD in relieving pre-reduction pain (p = 0.045) but equally effective in overall pain relief (p = 0.98). IAL was more effective than IVMD in shortening recovery time (p = 0.025). There was an indication favoring IVMD i...Continue Reading

References

Dec 1, 1990·Anesthesia and Analgesia·M R DahlT D McSweeney
Jan 1, 1995·Archives of Orthopaedic and Trauma Surgery·P A SuderP E Jensen

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Citations

Jun 22, 2006·Der Unfallchirurg·M WalzF Auerbach
Dec 1, 2006·Sports Medicine and Arthroscopy Review·John E Kuhn
Sep 28, 2012·Sports Health·Anna L Waterbrook, Stephen Paul
Apr 12, 2014·The American Journal of Emergency Medicine·Onur TezelNihal Tezel
Mar 24, 2012·Annales Françaises D'anesthèsie Et De Rèanimation·V Bounes, UNKNOWN groupe d’experts Sfar-SFMU
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Sep 3, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Michael BlaivasLina Lander
Sep 12, 2008·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Robert Warne Fitch, John E Kuhn
Feb 24, 2015·Archives of Orthopaedic and Trauma Surgery·T D BerendesR G H H Nelissen
Aug 19, 2007·The Journal of Emergency Medicine·Joseph H Kahn, Supriya D Mehta
May 3, 2014·Pediatric Emergency Care·Paul L Aronson, Rakesh D Mistry
Jan 1, 2009·Revista Brasileira De Ortopedia·André WajnsztejnFlavio Faloppa

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