응급실에 내원한 안면 깊은 열상환자에서 무마취 피하봉합 후 피부본드 사용의 효과Investigation of Non-analgesic Subcutaneous Suture and Skin Bond in Patients with Deep Facial Lacerations
- Other Titles
- Investigation of Non-analgesic Subcutaneous Suture and Skin Bond in Patients with Deep Facial Lacerations
- Authors
- 고찬영; 김호중; 조영순; 전덕호; 김재우
- Issue Date
- 2012
- Publisher
- 대한응급의학회
- Keywords
- Facial laceration; Analgesia; Subcutaneous suture; Adhesive agent; Pain
- Citation
- 대한응급의학회지, v.23, no.6, pp.862 - 868
- Journal Title
- 대한응급의학회지
- Volume
- 23
- Number
- 6
- Start Page
- 862
- End Page
- 868
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/15506
- ISSN
- 1226-4334
- Abstract
- Purpose: To evaluate the effectiveness of non-analgesic subcutaneous suture with an adhesive agent.
Methods: We sutured lacerated wounds with an adhesive agent using a non-analgesic method and measured pain and patient satisfaction. We classified three steps (I: entering the needle, II: pulling the fiber, III: tying) in the suture sequence and evaluated the pain (painfulness, tolerance,painlessness) for each step.
Results: Of 276 patients admitted within the period, 111were enrolled in this study. The mean wound characteristics were 11±4 mm (depth) and 23±18 mm (length). Overall,83(75%) patients were sutured without additional analgesics.
On a pain scale, all steps were measured at over 90% with respect to tolerance and painlessness. In step II, tolerance (63%) and painfulness (10%) was higher than in the other steps (p<0.05). The mean rate of satisfaction was 4.7 (group 1, 4.8; group 2, 4.6; group, 3; 4.6, group 4, 4.7 (p=0.673).
Conclusion: Non-analgesic subcutaneous suture with adhesive agent was very effective for patients who were admitted to the emergency department with deep facial lacerations with a length of no more than 2 cm
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Collections - College of Medicine > Department of Emergency Medicine > 1. Journal Articles
- College of Medicine > Department of Emergency Medicine > 1. Journal Articles
- College of Medicine > Department of Emergency Medicine > 1. Journal Articles
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