Is intra-articular lidocaine injection a safe and effective alternative to intravenous analgesia and sedation for the manual reduction of acute anterior shoulder dislocation?

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Abstract

EVIDENCE-BASED ANSWER

Yes. Intra-articular lidocaine has a lower risk of complications (especially hypoxia and apnea) and similar reduction success rates and pain relief with shorter length of stay than intravenous (IV) analgesia with sedation in the closed manual reduction of acute anterior shoulder dislocation in adults (SOR: B, meta-analyses of lower quality RCTs and single RCT).

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