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" Effect of nitrous oxide in comparison to oxygen combined with fentanyl on the hospitalization time and pain reduction in renal colic patients in the emergency department "
\ Amir Shirvani Dehkordi
; Omid Ahmadi
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Isfahan University of Medical Sciences
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| Document Type
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Latin Dissertation
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| Language of Document
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English
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| Record Number
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107720
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| Doc. No
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T17140
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WJ140,S558e,2016
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| Main Entry
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Shirvani Dehkordi, Amir
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| Title & Author
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Effect of nitrous oxide in comparison to oxygen combined with fentanyl on the hospitalization time and pain reduction in renal colic patients in the emergency department\ Amir Shirvani Dehkordi
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| College
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Schools, Medical
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| Date
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, 2016
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| Degree
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Speciality
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| field of study
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Emergency Medicine
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| Page No
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13p.: diag, tab
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| Note
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This is a research dissertation with project ID: 395024
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امیر شیروانی دهکردی
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| Abstract
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Background: Renal colic is a painful medical emergency, needs urgent intervention to reduce pain. Nonsteroidal anti-inflammatory drugs, opioids, and entonox are pain-relieving agents. This study was aimed to compare fentanyl + entonox (nitrous oxide + O2) versus fentanyl + oxygen as analgesic agents in renal colic patients.Materials and Methods: One hundred and twenty patients with acute renal colic presented to the emergency department were enrolled. Fifty micrograms fentanyl was infused for all patients. Then, patients were divided into two groups. Group 1 received mask of entonox and Group 2 received mask of oxygen. Quantitative measurement of pain was performed by visual analog scale (VAS) before the intervention and after 3, 5, 10, and 30 min. If the pain were not relief after 30 min, 50 µg fentanyl was infused again and pain severity was re-measured. If the pain was still continued, ketorolac and ketamine were used. Hospitalization duration and severity of pain at specified times were compared between the two groups.Results: Mean age and gender distribution were not shown any statistically significant difference between two groups (P = 0.79 and 0.19, respectively). Mean hospitalization time was significantly higher in Group 2 (210 [59] min in Group 1 vs. 236 [61] min in Group 2, P < 0.001). The pain severity after 10 and 30 min was significantly greater in Group 2 (P < 0.001 and 0.002, respectively). Pain severity change was statistically significant in both groups (P < 0.001).Conclusion: Entonox is more effective to decrease the duration of hospitalization and reduction of pain than O2 in renal colic patients.
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| Descriptor
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Urinary Calculi
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Renal Colic
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Pain
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Nitrous Oxide
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Fentanyl
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Length of Stay
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Hospitalization
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| Added Entry
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Ahmadi, Omid, Thesis advisor
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| Translated Title Supplied by Cataloguer
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مقایسه اثر تجویز نیتروس اکساید و گاز اکسیژن در همراهی با فنتانیل بر روی مدت زمان بستری بیماران کولیک در بخش اورزانس
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