Reduction of Anterior Shoulder Dislocation in Emergency Department; Is Entonox® Effective?

Babak Mahshidfar, Ali Asgari-Darian, Hamed-Basir Ghafouri, Gurkan Ersoy & Mohammad-Reza Yasinzadeh
Introduction: An appropriate procedural sedation and analgesia (PSA) is crucial to reduce a dislocated shoulder successfully in emergency department. This study compares sedative effect of inhalational Entonox® (En) to intra-venous (IV) Midazolam plus Fentanyl (F+M). Methods: 120 patients with recurrent anterior shoulder dislocation were randomly assigned into two groups. 60 patients (group F+M) received 0.1 mg/kg IV Midazolam plus 3µg/kg IV Fentanyl and 60 patients (group En) received Entonox® with self administration face mask on...