| Etomidate-facilitated hip reduction in the emergency department. | |
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MedLine Citation:
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PMID: 10750934 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Joint dislocations are common presenting complaints in emergency departments (EDs). Dislocations of major joints, such as the shoulder, elbow, and hip, are often difficult to gently reduce because of the challenge in obtaining sufficient relaxation of large muscle groups. This is the first reported use of etomidate to assist in the reduction of a major joint in an outpatient setting. We discuss the case of an elderly woman with total hip arthroplasty who experienced four spontaneous posterior hip dislocations in a 5-month period. Narcotics and benzodiazepines failed to facilitate reduction at every encounter, whereas etomidate made the procedure easy the two times it was used in the ED. This article reviews the administration of etomidate for conscious sedation and discusses potential complications. |
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Authors:
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B B Dursteler; J M Wightman |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The American journal of emergency medicine Volume: 18 ISSN: 0735-6757 ISO Abbreviation: Am J Emerg Med Publication Date: 2000 Mar |
Date Detail:
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Created Date: 2000-04-13 Completed Date: 2000-04-13 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8309942 Medline TA: Am J Emerg Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 204-8 Citation Subset: IM |
Affiliation:
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74th Medical Operations Squadron, Wright-Patterson Medical Center, Wright-Patterson Air Force Base, OH, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Anesthesia, General Arthroplasty, Replacement, Hip / adverse effects Conscious Sedation / adverse effects, methods* Drug Monitoring / methods Emergency Treatment / methods* Etomidate / therapeutic use* Female Hip Dislocation / etiology, radiography, therapy* Humans Hypnotics and Sedatives / therapeutic use* Manipulation, Orthopedic / methods* Recurrence |
| Chemical | |
Reg. No./Substance:
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0/Hypnotics and Sedatives; 33125-97-2/Etomidate |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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