Adequacy of pain relief in closed manipulative reduction of fracture and dislocation

C. H. Wan Hazmy, S. Hana Maizuliana, M. T. Mastura, Norazlina Mohamed

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Adequate pain relief is a requisite for a successful closed manipulative reduction (CMR) of fractures and dislocations. This prospective study was undertaken to assess the mode and adequacy of pain relief given to patients undergoing such procedures at Seremban Hospital from the 1st April to the 31st May 2001. All patients with fractures and dislocations scheduled to undergo CMR were included in this study. The type of sedative agents and analgesia administered were recorded. Demographic data and the type of fracture or dislocation of the selected patients were documented. A visual analogue scale (VAS) for pain perception was given to both to the patients and the medical personnel who performed the procedure. All data were collected manually before entered into computerized database for analysis. Of 72 patients included in this study, 47% were Malay, 26% Indian, 21% Chinese 6% others. There was male predominance and the patients' age ranged between 9 to 79 years (average 27.4 year). Upper limb injuries (79%) were mainly fractures of the radius and ulna (29%) and isolated fracture radius (21%). For the lower limb injuries (21%), combined tibia and fibula fractures constituted 10% of the total cases followed by isolated tibia fractures (10%) and hip dislocation (1%). The most common pain relieving agents given during the CMR were intravenous pethidine alone (43%) followed by combination of intravenous pethidine and valium (36%), intramuscular pethidine (17%) and intramuscular tramal (4%). The Visual Analogue Score (VAS) for pain perception revealed that 61% of the patients had moderate pain while 21% had severe pain during the course of the procedures. Suboptimal pain relief administered during CMR should prompt positive actions to ensure that the patient is not subjected to undue pain just for the sake of an acceptable fracture reduction.

Original languageEnglish
Pages (from-to)45-49
Number of pages5
JournalMedical Journal of Malaysia
Volume61
Issue numberSUPPL. A
Publication statusPublished - Feb 2006
Externally publishedYes

Fingerprint

Pain
Meperidine
Radius Fractures
Pain Perception
Tibia
Ulna Fractures
Tramadol
Fracture Fixation
Fibula
Hip Dislocation
Fracture Dislocation
Wounds and Injuries
Diazepam
Hypnotics and Sedatives
Visual Analog Scale
Upper Extremity
Analgesia
Lower Extremity
Demography
Databases

Keywords

  • Dislocation
  • Fracture
  • Manipulative
  • Pain relief
  • Reduction

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Wan Hazmy, C. H., Maizuliana, S. H., Mastura, M. T., & Mohamed, N. (2006). Adequacy of pain relief in closed manipulative reduction of fracture and dislocation. Medical Journal of Malaysia, 61(SUPPL. A), 45-49.

Adequacy of pain relief in closed manipulative reduction of fracture and dislocation. / Wan Hazmy, C. H.; Maizuliana, S. Hana; Mastura, M. T.; Mohamed, Norazlina.

In: Medical Journal of Malaysia, Vol. 61, No. SUPPL. A, 02.2006, p. 45-49.

Research output: Contribution to journalArticle

Wan Hazmy, CH, Maizuliana, SH, Mastura, MT & Mohamed, N 2006, 'Adequacy of pain relief in closed manipulative reduction of fracture and dislocation', Medical Journal of Malaysia, vol. 61, no. SUPPL. A, pp. 45-49.
Wan Hazmy, C. H. ; Maizuliana, S. Hana ; Mastura, M. T. ; Mohamed, Norazlina. / Adequacy of pain relief in closed manipulative reduction of fracture and dislocation. In: Medical Journal of Malaysia. 2006 ; Vol. 61, No. SUPPL. A. pp. 45-49.
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