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J Emerg Med ; 63(2): 265-271, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-36045024

RESUMO

BACKGROUND: Anterior shoulder dislocation is a common presentation to the emergency department (ED). Dislocations are spontaneous or traumatic. Generally, a reduction is performed under procedural sedation and analgesia (PSA). Other approaches include the use of intra-articular lidocaine or, in rare instances, nerve blocks. Here we discuss the case of a 66-year-old female patient who presented with left shoulder pain and limited range of motion after a fall. After discussing potential treatment options to reduce the dislocation, the patient agreed to a nerve block. DISCUSSION: The dislocation was reduced successfully with a suprascapular nerve block (SSNB) without complications. The duration of the patient's ED stay was shorter than those who had received PSA. CONCLUSIONS: SSNB could be an alternative method for shoulder dislocation reduction, particularly for patients who are obese, older, or have cardiopulmonary comorbidities.


Assuntos
Bloqueio Nervoso , Luxação do Ombro , Idoso , Anestésicos Locais/uso terapêutico , Feminino , Humanos , Lidocaína/farmacologia , Lidocaína/uso terapêutico , Bloqueio Nervoso/métodos , Ombro , Luxação do Ombro/complicações , Luxação do Ombro/terapia , Dor de Ombro/etiologia , Dor de Ombro/terapia
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