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How To Reduce Anterior Shoulder Dislocations Using Traction Countertraction
Additional Considerations for Traction Countertraction
Reduction attempts are more likely to succeed if patients are calm and can relax their muscles. Analgesia and sedation help patients relax, as may external distractions such as pleasant conversation. How To Do Procedural Sedation and Analgesia (PSA) is often needed if substantial pain, anxiety, and muscle spasms impede the procedure. Regional anesthesia can be used (eg, ultrasound-guided interscalene nerve block) but has the disadvantage of limiting post-reduction neurologic examination. 