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For pain of traumatic origin, the RICE protocol (Rest, Ice, Compression, Elevation) is the main therapeutic measure during the first 4 to 5 days post-trauma. However, there is currently insufficient evidence that this protocol is effective [4].
In the emergency department, paracetamol, NSAIDs or a combination of several molecules are generally prescribed. Patients even use these drugs without a prescription.
The aim of this study is to Compare the effect of dexketoprofen® IV versus piroxen® IM in the treatment of pain in emergency departments.
This was a prospective, randomized, double-blind, controlled study conducted at the Sahloul emergency department, Sousse.
Study duration: 3 months.
Inclusion criteria:
Patients over 18 years of age requiring analgesia for acute pain of traumatic origin and who signed a written consent form were included in this study.
Exclusion criteria:
Patients who meet the following conditions:
Methodology:
For each patient included, VAS, blood pressure, heart rate, respiratory rate and Sa02 are taken on admission and discharge from the emergency department, and at the second telephone visit after 07 days.
At the 7th day visit (by telephone), patients were asked to answer satisfaction questions and complete the EQ50 quality of life questionnaire.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dexketoprofen | Experimental | Patients receive a perfusion of Dexketoprofen in intraveinous with an injection of istonic saline IM injection |
|
| Piroxicam | Active Comparator | Patients receive an intramuscular injection of piroxicam with an intravenous isotonic saline |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dexketoprofen | Drug | An intravenous perfusion of eunantyum with an intramuscular isotonic saline |
|
| Measure | Description | Time Frame |
|---|---|---|
| Time to pain resolution | VAS<3 | 120 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| rescue tratment | rate of the use of another analgesics | 120 minutes |
| Side effects | number of patients with epigastralgia , digestive bleeding, nausea, vomiting |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Riadh Boukef, professor | Contact | 98676745 | 216 | riadboukef@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sahloul University Hospital | Recruiting | Sousse | 5000 | Tunisia |
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| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
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| ID | Term |
|---|---|
| C118296 | dexketoprofen trometamol |
| D010894 | Piroxicam |
| ID | Term |
|---|---|
| D013843 | Thiazines |
| D013457 | Sulfur Compounds |
| D009930 | Organic Chemicals |
| D006573 | Heterocyclic Compounds, 1-Ring |
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prospective, randomised , double blind controlled trial
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| Piroxicam | Drug | intramuscular injection of piroxicam with a perfusion of isotonic saline intravenous |
|
|
| 7 days |
| patient satisfaction | rate of satisfaction with likert scale | 7 days |
| D006571 |
| Heterocyclic Compounds |