Comparison of Ultrasound-guided interscalene block vs. analgosedation for shoulder reduction in a Swiss University Emergency Department

Purpose: Patients presenting with traumatic shoulder dislocation in the Emergency Department (ED), often get procedural sedation for shoulder reduction. Recent studies report the possibility of Ultrasound-guided interscalene block (US-ISB) in the ED, done by Emergency physicians (EP), to facilitate reduction without analgosedation. The aim of this study was to compare US-ISB vs. procedural sedation for shoulder reduction especially considering patient safety and length of stay in the ED. Material and methods: We included adult out-patients with traumatic shoulder dislocation, two part fracture-dislocation (great…