Health Condition 1: N209- Urinary calculus, unspecified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Adult patients(Patients more than 18 years of age) 2.Patients with suspected acute renal colic presenting to the ED(typical colicky flank pain and with or without hematuria) with plan for imaging per standard care. 3.patients with moderate to severe pain at baseline(e.g.NRS more than or equal to 4/10 4.Patients willing to provide informed written consent to participate in the study. 4.
Exclusion criteria
Exclusion criteria: Patients with known allergy or hypersensitivity to NSAIDs, opioids or study drugs Patients with history of peptic ulcer disease, gastrointestinal bleeding or known coagulopathy, platelet count 1 lakh per liter therapeutic anticoagulation where NSAIDs are contraindicated. Severe renal impairment (eGFR Less than 30ml per min per 1.73 meter square) or known CKD stage 4-5. pregnant or lactating women. Hemodynamic instability ( SBP less than 90 mm HG) or altered mental status precluding consent or assessment. An alternative non renal colic diagnosis judged more likely on ED assessment (AAA, Appendicitis, ectopic pregnancy )
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the pain score at 30 and 60 minutes post administration of intravenous Ketorolac and Tramadol to patients with acute renal colic presenting to the Emergency departmentTimepoint: 30min 60min 90min 120min and 150min | — |
Secondary
| Measure | Time frame |
|---|---|
| a. To determine the adverse effects of intravenous Ketorolac and Tramadol in patients with acute renal colic presenting to the Emergency department b. To determine the need for rescue analgesia between groups. c. To determine patient satisfaction yes/no. Timepoint: 30mim 60min 90min 120min and 150min | — |
Countries
India
Contacts
Dr. M. G. R. Medical University