Use of Ultrasound Intra Articular Lidocaine Injection Versus Propofol Sedation for Closed Reduction in Shoulder Dislocation

Document Type : Original Article

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Anesthesia, Intensive Care, and Pain Management Department, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt.

Abstract

Background: The shoulder is one of the most often dislocated joints in the human body. Multiple studies have evaluated different pain management techniques for shoulder dislocation reductions, such as intravenous analgesics and sedatives, interscalene blocks, and ultrasound-guided intra-articular lidocaine injections.
The aim of the work: The aim was to Compare ultrasound intra-articular lidocaine injection with Propofol sedation in closed reduction of shoulder dislocation.
Patients and Methods: A randomized clinical trial involved 50 patients with anterior shoulder dislocations at Al-Azhar University Hospital in Damietta. Patients were randomly allocated into two equal groups; Group 1 consisted of 25 patients who got IAL. Group [2]: 25 patients who sedated using Propofol.
Results: We observed a notable decrease in pain severity in group 1; however, group 2 did not exhibit such a change. Pain reduction was not statistically significant, with less Pain in group 1 than in group 2 because of the analgesic effect of xylocaine compared to Propofol. After reduction, the need for analgesics was higher in group 2 [24%] than in group 1 [4%].
Conclusions: he use of intra-articular lidocaine to facilitate reduction is a safe and effective method for addressing acute shoulder dislocations in an emergency care setting.

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