응급실에 내원한 안면 깊은 열상환자에서 무마취 피하봉합 후 피부본드 사용의 효과

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