Comparison of inhaled methoxyflurane versus procedural sedation for manipulation and reduction of acute shoulder and elbow dislocation in the emergency department
| Autor: | Shu Fang Ho, Sameera Ganti, Eunizar Omar, Sherman Wei Qiang Lian, Hui Cheng Tan, Yogeswary Pasupathy, Norizan Jaafar, Faraz Zarisfi, Marcus Eng Hock Ong |
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| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Proceedings of Singapore Healthcare, Vol 31 (2022) |
| Druh dokumentu: | article |
| ISSN: | 2059-2329 20101058 |
| DOI: | 10.1177/2010105821993493 |
| Popis: | Introduction: This paper compares the usage of inhaled methoxyflurane versus traditional procedural sedation and analgesia for manipulation and reduction of acute shoulder dislocation and acute elbow dislocation in the emergency department. Methods: This was a retrospective observational study of patients who presented with either acute shoulder dislocation or acute elbow dislocation to an adult tertiary emergency department between 1 April 2018 and 30 September 2019 and underwent manipulation and reduction with either methoxyflurane or procedural sedation and analgesia. Primary outcomes of patients’ length of stay in the emergency department and secondary outcomes of duration of procedure and success of reduction on first attempt for inhaled methoxyflurane were compared against those of procedural sedation and analgesia. Results: A total of 192 patients were included in this study; 74 patients underwent reduction with methoxyflurane while 118 patients (85 acute shoulder dislocation and 33 acute elbow dislocation) underwent reduction with procedural sedation and analgesia. The median length of stay in the emergency department was significantly shorter ( P |
| Databáze: | Directory of Open Access Journals |
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