Kathmandu University medical journal (KUMJ)
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Kathmandu Univ Med J (KUMJ) · Jan 2004
Clinical TrialReduction of acute anterior shoulder dislocations under local anaesthesia--a prospective study.
To evaluate the application of local anaesthesia for reduction of acute anterior shoulder dislocation ⋯ Use of intra-articular lignocaine for reduction of shoulder dislocation is safe and effective and is beneficial for countries like Nepal where health facilities are minimum in rural and suburban areas.
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Among various methods of providing analgesia during surgery for e.g., parenteral opiates and NSAIDS, epidural anaesthesia and analgesia seem to have beneficial efficacy and less side effect profiles. ⋯ Patients undergoing major surgery with epidural anaesthesia and analgesia had stable cardiovascular parameters, minimal neuroendocrine response, less respiratory complications including SIRS and sepsis, lower incidence of thromboembolic events, less blood loss, reduced hospital stay and better pain control.