Ureteral Calculi, Hyperalgic, Not Complicated
Conditions
Keywords
Pain, morphine, nefopam, co analgesia, ureteral calculi, emergency
Brief summary
The administration of néfopam after initial treatment by kétoproféne, could obtain, in patients remaining pain and classically need morphine, analgesia at least the same as morphine alone. The use of néfopam second line after ketoprofen could reducing (or even eliminating) the need for morphine (and its side effects), allowing a reduction in the length of stay of patients in the emergency unit. The main objective is to show that the addition of a néfopam initial treatment with the kétoproféne, reduces, in patients with ureteral calculi, the percentage of patients requiring the use of a treatment by morphine. The secondary objective is to reduce the side effects caused by the morphine, shorten the time to install the appropriate level of analgesia while reducing the risk of failure of the titration morphine, reduce the time spent on titration of morphine and reduce the length of stay patient intake in emergency unit.
Detailed description
The study is prospective, parallel, double-blind, randomized, placebo-controlled analysis with intent to treat. There are 2 groups: * A group N: néfopam * A group P: placebo And all the patient receive, before randomization, 100 mg of ketoprofen (Profenid ®) on 20 minutes. The number of subjects is 52.
Interventions
DRUGNéfopam
There are two groups : * a group N : néfopam * a group P : placebo All the patients receive, before randomization, 100 mg of ketoprofen (Profenid) on 20 minutes.
Sponsors
University Hospital, Clermont-Ferrand
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Age between 18 to 50 years old. * Admitted to the emergency room for typical ureteral calculi with severe pain (VAS \> or = 60), and microscopic hematuria in the strip without signs of urinary complications. * Preliminary Agreement patient.
Exclusion criteria
* Patient disagree. * Pregnant women (sought by the questioning). * Fever \> 38 ° C. * Leucocyturie or nitriturie (dipstick). * Contraindication to ketoprofen. * Contraindication to néfopam. * Contraindication to morphine. * Contraindication linked to drug interactions as mentioned in the Summary of Product Characteristics of the Authorization for placing on the market of Acupan ®. * Treatment opioid analgesics, nonsteroidal anti-inflammatory or inflammatory or paracetamol in the previous 12 hours. * Secondary exclusion to a urinary tract infection or systemic.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Need to use morphine as an analgesic scheme (binary yes/no) | As analgesic scheme |
Secondary
| Measure | Time frame |
|---|---|
| Quantity of morphine consumed after titration (mg and number of bolus) | After titration and after administration of placebo or néfopam |
| Pain (measured by the EVA) after administration of placebo or néfopam | After titration and after administration of placebo or néfopam |
| Simplified verbal Scale of Satisfaction | After titration and after administration of placebo or néfopam |
Countries
France
Outcome results
None listed