Trauma Monthly

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Propofol Versus Midazolam for Procedural Sedation of Anterior Shoulder Dislocation in Emergency Department: A Randomized Clinical Trial

Hamid Reza Hatamabadi 1 , Ali Arhami Dolatabadi 2 , Hojjat Derakhshanfar 2 , Somaye Younesian 2 and Ensieh Ghaffari Shad 2 , *
Authors Information
1 Safety Promotion and Injury Prevention Research Center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
2 Department of Emergency Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
Article information
  • Trauma Monthly: May 31, 2015, 20 (2); e13530
  • Published Online: May 20, 2015
  • Article Type: Research Article
  • Received: July 11, 2013
  • Revised: April 29, 2014
  • Accepted: May 26, 2014
  • DOI: 10.5812/traumamon.13530

To Cite: Hatamabadi H R, Arhami Dolatabadi A, Derakhshanfar H, Younesian S, Ghaffari Shad E. Propofol Versus Midazolam for Procedural Sedation of Anterior Shoulder Dislocation in Emergency Department: A Randomized Clinical Trial, Trauma Mon. 2015 ; 20(2):e13530. doi: 10.5812/traumamon.13530.

Copyright © 2015, Trauma Monthly. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Patients and Methods
4. Results
5. Discussion
  • 1. Jamali S. Anterior shoulder dislocation - seated versus traditional reduction technique. Aust Fam Physician. 2011; 40(3): 133-7[PubMed]
  • 2. Alimohammadi H, Azizi M-R, Safari S, Amini A, Kariman H, Hatamabadi HR. Axillary Nerve Block in Comparison with Intravenous Midazolam/Fentanyl for Painless Reduction of Upper Extremity Fractures. Acta Med Iranica. 2014; 52(2): 122-4
  • 3. Dolatabadi AA, Hatamabadi HR, Shahrami A. Femoral nerve block in patients with femoral shaft fractures in emergency depart ment. J Basic Appl Sci Res. 2013; 3(11): 15-9
  • 4. Blaivas M, Adhikari S, Lander L. A prospective comparison of procedural sedation and ultrasound-guided interscalene nerve block for shoulder reduction in the emergency department. Acad Emerg Med. 2011; 18(9): 922-7[DOI][PubMed]
  • 5. Cheok CY, Mohamad JA, Ahmad TS. A Prospective Comparison of Procedural Sedation and Ultrasound-guided Interscalene Nerve Block for Shoulder Reduction in the Emergency Department. J Orthopaedic Trauma. 2011; 25(1): 5-10
  • 6. Havel CJ, Strait RT, Hennes H. A clinical trial of propofol vs midazolam for procedural sedation in a pediatric emergency department. Acad Emerg Med. 1999; 6(10): 989-97[PubMed]
  • 7. Weaver CS, Hauter WE, Brizendine EJ, Cordell WH. Emergency department procedural sedation with propofol: is it safe? J Emerg Med. 2007; 33(4): 355-61[DOI][PubMed]
  • 8. Borgeat A, Wilder-Smith OH, Saiah M, Rifat K. Subhypnotic doses of propofol possess direct antiemetic properties. Anesth Analg. 1992; 74(4): 539-41[PubMed]
  • 9. Dunn MJ, Mitchell R, Souza CD, Drummond G. Evaluation of propofol and remifentanil for intravenous sedation for reducing shoulder dislocations in the emergency department. Emerg Med J. 2006; 23(1): 57-8[DOI][PubMed]
  • 10. Dunn MJ, Mitchell R, DeSouza CI, Drummond GB, Waite A. Recovery from sedation with remifentanil and propofol, compared with morphine and midazolam, for reduction in anterior shoulder dislocation. Emerg Med J. 2011; 28(1): 6-10[DOI][PubMed]
  • 11. Taylor DM, O'Brien D, Ritchie P, Pasco J, Cameron PA. Propofol versus midazolam/fentanyl for reduction of anterior shoulder dislocation. Acad Emerg Med. 2005; 12(1): 13-9[DOI][PubMed]
  • 12. Kariman H, Majidi A, Amini A, Dolatabadi AA, Derakhshanfar H, Hatamabadi H, et al. Nitrous oxide/oxygen compared with fentanyl in reducing pain among adults with isolated extremity trauma: a randomized trial. Emerg Med Australas. 2011; 23(6): 761-8[DOI][PubMed]
  • 13. Hohl CM, Sadatsafavi M, Nosyk B, Anis AH. Safety and clinical effectiveness of midazolam versus propofol for procedural sedation in the emergency department: a systematic review. Acad Emerg Med. 2008; 15(1): 1-8[DOI][PubMed]
  • 14. Burton JH, Miner JR, Shipley ER, Strout TD, Becker C, Thode HJ. Propofol for emergency department procedural sedation and analgesia: a tale of three centers. Acad Emerg Med. 2006; 13(1): 24-30[DOI][PubMed]
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