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Journal of The Korean Society of Emergency Medicine 2012;23(6): 862-868. |
| Investigation of Non-analgesic Subcutaneous Suture and Skin Bond in Patients with Deep Facial Lacerations |
| Chan Young Koh, Ho Jung Kim, Young Soon Cho, Duck Ho Jun, Jae Woo Kim |
1Department of Emergency Medicine, Bucheon Hospital of Soonchunhyang University, Bucheon, Korea. lovelydr@schmc.ac.kr
2Department of Emergency Medicine, Gumi Hospital of Soonchunhyang University, Gumi, Korea.
3Department of Emergency Medicine, Chunan Hospital of Soonchunhyang University, Cheonan, Korea. |
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| 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. |
| Key words:
Facial laceration, Analgesia, Subcutaneous suture, Adhesive agent, Pain |
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