IAL vs PS for Anterior Shoulder Dislocations

Status Recruiting

Clinical Trial Summary

This study compares intra-articular lidocaine to procedural sedation for the reduction of anterior shoulder dislocations in the emergency department.

Clinical Trial Description

This will be a single center, prospective, open-label, randomized controlled trial on a convenience sample of patients presenting to the ED with anterior shoulder dislocations. This study will enroll all patients between the ages of 18 and 70 who meet all of the inclusion criteria and do not meet any of the exclusion criteria, who present to the ED with an anterior shoulder dislocation as determined by the ED physician. Written, informed consent will be obtained from each patient. After enrollment, each patient will be randomized either to IV sedation (with the provider's choice of propofol or etomidate) or intra-articular lidocaine. Randomization will be done before the initiation of data collection, and will be done with a random number generator. Patients who are randomized to the intra-articular group will receive 20 mL of 1% lidocaine injected into the glenohumeral joint using a lateral approach. Treating clinicians will be instructed to wait 10 minutes after injection before attempting reduction. The primary outcome measure will be the difference in emergency department length of stay between the procedural sedation and intra-articular lidocaine groups. ;

Study Design

Related Conditions & MeSH terms

Shoulder Dislocation

Clinical Trial Details

NCT number	NCT03625076
Study type	Interventional
Source	Kendall Healthcare Group, Ltd.
Contact	Tony Zitek, MD
Phone	305-480-6602
Email	zitek10@gmail.com
Status	Recruiting
Phase	Phase 4
Start date	June 1, 2018
Completion date	June 1, 2020

View Details

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