RENAL COLIC
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Age ? 18 years. Low back pain irradiated or not. Colic in nature. Pain by pressure in the same side of pain. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 242 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Patients <18 years. ? Patients who do not meet criteria for the diagnosis of renal colic. ? Patients with allergy or intolerance to either drug used in the study (dexketoprofen, metamizol, metoclorpropamida and / or pethidine). Pregnant patients, applying the usual clinical management of patients with suspected renal colic. Be considered as not pregnant the patient who has not presented late in their menstrual cycle and that denies the possibility of pregnancy and / or using effective contraception or menopausal patient. ? breast feeding patients. ? Patients with clinically significant psychiatric condition at the discretion of the physician. ? Patients with absolute or relative contraindication for the use of N2O/O2 50/50: or unable to work and / or altered level of consciousness. o pneumothorax. or with significant abdominal distension and / or suspected bowel obstruction. o severe bullous emphysema. or a history of recent diving (in the last 7 days). or have suffered a head injury. o those who have made recent intraocular injection of gas (in the last 7 days). o which they have made a surgical procedure in the middle ear. or oxygen saturation <94%. o known deficiency of vitamin B12 or folic
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Check whether the use of a mixture of oxygen and nitrous oxide 50/50 reduces time to decrease the pain and its intensity compared to conventional analgesic treatment.;Secondary Objective: Check if the gas mixture decreases the number of drugs needed to relieve pain, opioid use, how long the patient stays in the emergency department, the need for admission and performance of ultrasound. Also as an additional objective analyze the economic impact and patient satisfaction using this gas compared to conventional treatment.;Primary end point(s): The main objective is to test whether the use of a mixture of oxygen and nitrous oxide 50/50 reduces the time to reduce pain and its intensity compared to conventional analgesic treatment, and patient satisfaction with treatment given prior at discharge.;Timepoint(s) of evaluation of this end point: Main outcomes: pain intensity measured by VAS as well as patient satisfaction with treatment given prior to discharge | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Secondary objectives ascertain whether the mixture of gases decreases the number of drugs needed to relieve pain, opioid use, how long the patient stays in the emergency department, the need for admission and performance of ultrasound. Also as an additional objective and analyze the economic impact on patient satisfaction from the use of this gas compared to conventional treatment;Timepoint(s) of evaluation of this end point: Secondary outcomes: - Number of drugs to achieve symptomatic control. - Degree of sedation as measured by Modified Observer's Assessment of Alertness Sedation Scale (OAA / S) . - Number of patients requiring opioids. - Side Effects. - Time elapsed between admission and discharge from the emergency. - Degree of patient satisfaction. - Demographic variables: age, sex and race. - Physical variables: blood pressure, heart rate, temperature and oxygen saturation. - Investigations: X-ray of abdomen, white blood cell count, hemoglobin, creatinine, urinalysis and ultrasound (the latter only in cases deemed necessary by the clinician caring for the patient). | — |
Countries
Spain
Contacts
Fundacion de Investigacion Biiomedica