Stimson
Stimson's Technique (modified) ✎Patient prone on table with affected limb hanging freely over edges, the dislocated shoulder could be reduced for at least 10 - 15 minutes, PROVIDED patient must be fully sedated and muscles must be fully relaxed ===== =====
Disadvantages:
✎Prolonged duration of sedation is required
✎Difficult choice of PSA
• Respiratory inhibition VS reduction of dislocated joint
• e.g. propofol may not be a suitable PSA
✎Difficult monitoring in prone position
✎Respiratory inhibition from sedation will be amplified by prone position
Further reading:
https://www.msdmanuals.com/professional/injuries-poisoning/how-to-reduce-dislocations-and-subluxations/how-to-reduce-anterior-shoulder-dislocations-using-the-stimson-technique
✎Patient prone on table with affected limb hanging freely over edges, the dislocated shoulder could be reduced for at least 10 – 15 minutes, PROVIDED patient must be fully sedated and muscles must be fully relaxed
=====
Disadvantages:
✎Prolonged duration of sedation is required
✎Difficult choice of PSA
• Respiratory inhibition VS reduction of dislocated joint
• e.g. propofol may not be a suitable PSA
✎Difficult monitoring in prone position
✎Respiratory inhibition from sedation will be amplified by prone position
===== Stimson's Technique (modified) ✎Patient prone on table with affected limb hanging freely over edges, the dislocated shoulder could be reduced for at least 10 - 15 minutes, PROVIDED patient must be fully sedated and muscles must be fully relaxed ===== =====
Further reading:
https://www.msdmanuals.com/professional/injuries-poisoning/how-to-reduce-dislocations-and-subluxations/how-to-reduce-anterior-shoulder-dislocations-using-the-
stimson
Disadvantages:
✎Prolonged duration of sedation is required
✎Difficult choice of PSA
• Respiratory inhibition VS reduction of dislocated joint
• e.g. propofol may not be a suitable PSA
✎Difficult monitoring in prone position
✎Respiratory inhibition from sedation will be amplified by prone position
Further reading:
https://www.msdmanuals.com/professional/injuries-poisoning/how-to-reduce-dislocations-and-subluxations/how-to-reduce-anterior-shoulder-dislocations-using-the-stimson-technique