Endovenous sedation versus intraarticular lidocaine in patients with acute glenohumeral dislocation (in Spanish)

Abstract

INTRODUCTION. Glenohumeral dislocation occurs most often in emergency rooms. Endovenous sedation and the application of intra-articular lidocaine have become the preferred anesthetic techniques in the emergency area, however, they are not without complications. OBJECTIVE. To determine the differences between the use of two different anesthetic methods in order to achieve reduction of the glenohumeral joint with fewer complications. MATERIALS AND METHODS. Descriptive, correlational, retrospective, non-experimental study, of a population of 125 patients, a sample was taken 82, Inclusion criteria: diagnosis of acute glenohumeral dislocation, over 15 years of age, signature of Informed Consent. Divided into two groups: group I: reductions with intra-articular lidocaine, group II: intravenous sedation, attended in the Emergency Service of the Riobamba General Hospital, period from January 2015 to December 2019. The data were obtained from the Medical Records of the MIS- computer system. AS400. The data analysis was carried out in the statistical program International Business for the Social Sciences version 23. RESULTS. A reduction was achieved with group I of 96.7% (29; 30) and 94.2% (49; 52) with group II. Among the complications with group II we found: respiratory depression 5.8% (3; 52), dizziness 5.8% (3; 52), headache 1.9% (1; 52). No complications were found in group I. CONCLUSION. Intra-articular lidocaine showed fewer complications in patients who presented shoulder dislocation, as well as a shorter emergency stay, low cost and ease of the technique.