Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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Randomized Controlled Trial Comparative Study Clinical Trial
Ketorolac vs meperidine for the management of pain in the emergency department.
To compare the pain relief, sedation, and common side effect profiles of ketorolac tromethamine and meperidine for the management of acute pain in the emergency department (ED). ⋯ When used to treat patients who had acute pain states, 60 mg of IM ketorolac produced analgesia similar to that produced by 100 mg of IM meperidine; however, the ketorolac produced fewer subjective side effects and less sedation than did the meperidine.
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Randomized Controlled Trial Comparative Study Clinical Trial
A comparative study of the percutaneous versus intraoral technique for mental nerve block.
Mental nerve block is frequently used to aid repair of facial lacerations; both percutaneous and intraoral approaches to blocking this nerve are used, but have never been compared. The authors compared the two techniques for pain of administration and effectiveness of anesthesia. ⋯ The intraoral approach to the mental nerve block with adjunctive topical anesthesia was subjectively and objectively less painful than the percutaneous approach without adjunctive anesthesia. While the intraoral approach had a greater efficacy of lower-lip anesthesia and a longer duration of action, these differences were not statistically significant.
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Randomized Controlled Trial Comparative Study Clinical Trial
Comparison of intraoral and percutaneous approaches for infraorbital nerve block.
The infraorbital nerve block is frequently used during repair of facial lacerations; both percutaneous and intraoral approaches are used. The authors compared the two techniques for pain of administration and anesthetic effectiveness. ⋯ The intraoral approach to the infraorbital nerve block after adjunctive topical anesthesia appeared at least as effective in producing upper-lip anesthesia as the percutaneous approach without adjunctive topical anesthesia. Although the volunteers subjectively preferred the intraoral approach and visual-analog pain scores were lower for this approach, these differences did not achieve statistical significance. The intraoral approach was associated with a longer duration of upper-lip anesthesia.
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To assess the use of parenteral ketorolac tromethamine (KT) in the emergency department (ED). ⋯ Parenteral KT is a useful and safe analgesic for ED patients. The agent generally provides analgesia and is particularly promising for patients with nephrolithiasis or toothache.