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Intra-articular lidocaine versus intravenous meperidine/diazepam in anterior shoulder dislocation: a randomised clinical trial
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  • Published on:
    The reduction of shoulder dislocations requires appropriate analgesia

    I read with interest Moharari et al study and their conclusion that intra-articular lidocaine produces the same pain relief as intravenous meperidine and diazepam and that is a suitable alternative to sedation-analgesia for closed reduction of anterior shoulder dislocation.

    The authors achieved a very high rate of successful reduction with the traction counter-traction technique by two specifically trained ope...

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    Conflict of Interest:
    None declared.
  • Published on:
    Re: Intra-articular lidocaine versus intravenous meperidine/diazepam in anterior shoulder dislocatio
    • Reza Shariat Moharari, Anesthesiologist
    • Other Contributors:
      • Peyman Khademhosseini, Ramin Espandar, Hossein Asl Soleymani, Mohammad Taghi Talebian, Patricia Khashayar, Amir Nejati

    We appreciate Dr Plutarco E Chiquito for his interest and comments about our recently published study of Intra-articular lidocaine versus intravenous meperidine/diazepam in anterior shoulder dislocation [1]. This letter is in response to his comments; however, it should be noted that not many studies are performed in this field, many of them have similar methods and limitations, suggesting that further studies are needed....

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    Conflict of Interest:
    None declared.
  • Published on:
    Intra-articular lidocaine versus intravenous meperidine/diazepam in anterior shoulder dislocation

    I read with interest Moharari et al study and their conclusion that intra-articular lidocaine before closed reduction of anterior shoulder dislocation produces the same pain relief as intravenous meperidine and diazepam, as measured on a 100 mm analogue visual scale and that lidocaine is a suitable alternative to sedation-analgesia.

    Pain worsens muscle spasm and compromises reduction, as well as being unacceptabl...

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    Conflict of Interest:
    None declared.