Propofol versus midazolam/fentanyl for reduction of anterior shoulder dislocation

Abstract

OBJECTIVE: The authors aimed to compare propofol and midazolam/fentanyl for reduction of anterior shoulder dislocations using the modified Kocher's maneuver. METHODS: This was a multicenter, randomized, clinical trial of patients with anterior shoulder dislocation. Patients were randomized to either propofol or midazolam/fentanyl. The randomized drug was titrated to a clinical sedation end point (spontaneous eye closure). One physician sedated the patient. Another, blinded to the drug administered, reduced the shoulder and recorded details of muscle tone and ease of reduction. RESULTS: Eighty-six patients were randomized to treatment with propofol (n = 48) or midazolam/fentanyl (n = 38). Pat..