Investigation of Non-analgesic Subcutaneous Suture and Skin Bond in Patients with Deep Facial Lacerations.
- Author:
Chan Young KOH
1
;
Ho Jung KIM
;
Young Soon CHO
;
Duck Ho JUN
;
Jae Woo KIM
Author Information
1. Department of Emergency Medicine, Bucheon Hospital of Soonchunhyang University, Bucheon, Korea. lovelydr@schmc.ac.kr
- Publication Type:Original Article
- Keywords:
Facial laceration;
Analgesia;
Subcutaneous suture;
Adhesive agent;
Pain
- MeSH:
Adhesives;
Analgesia;
Analgesics;
Emergencies;
Humans;
Lacerations;
Needles;
Patient Satisfaction;
Skin;
Sutures
- From:Journal of the Korean Society of Emergency Medicine
2012;23(6):862-868
- CountryRepublic of Korea
- Language:Korean
-
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, 111 were 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.
