Intranasal ketamine versus intravenous morphine in renal colic pain control in Nephrolithiasis patients in emergency department. emergency

Abstract

Introduction: : The pain caused by urinary stones is the most common urological disease and is a common cause of pain in the emergency room. Given the novelty and usefulness of ketamine and the need for further studies with larger sample sizes, we decided to conduct a clinical trial.

Materials and Methods: This study is an interventional study in which patients with acute kidney pain admitted to the emergency. All patients over the age of 18 years who have been referred to the emergency department with the history and documentation of the urolithiasis, or who have been referred for acute renal pain for the first time and who have undergone a CT scan of the urinary tract, are included in the study. For the control group, morphine was used and intra-nasal ketamine was used for the case group, and the pain intensity was recorded 15 minutes, 30 minutes and 60 minutes, and entered into the statistical system of the spss and analyzed.

Results: In this study, 184 were enrolled. Patients in both groups did not have a significant difference in pain intensity at the time of referral (Pv = 489). Patients in both groups had no significant difference in pain intensity at 15 minutes post dose (P = 0.204). Patients in both groups had no significant difference in pain intensity at 30 minutes post dose (P = 0.978). Patients in both groups had no significant difference in pain intensity at 60 minutes post treatment (Pv = 0.648). If the pain score is greater than 8 and the patient is disorient and therefore is restless and does not cooperate, his consent will be obtained from his legal authority. If the patient is not legally ill with severe pain, the patient will be excluded from the study.