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KMID : 0385920120230060862
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Journal of the Korean Society of Emergency Medicine
2012 Volume.23 No. 6 p.862 ~ p.868
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Investigation of Non-analgesic Subcutaneous Suture and Skin Bond in Patients with Deep Facial Lacerations
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Koh Chan-Young
Kim Ho-Jung
Cho Young-Soon
Jun Duck-Ho
Kim Jae-Woo
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Abstract
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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
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KEYWORD
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Facial Laceration, Analgesia, Subcutaneous suture, Adhesive agent, Pain
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