Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
-
Randomized Controlled Trial Comparative Study Clinical Trial
Intramuscular ketorolac vs oral ibuprofen in emergency department patients with acute pain.
To determine whether i.m. ketorolac is superior to oral ibuprofen in patients presenting to an ED in moderate to severe pain. ⋯ I.m. ketorolac and oral ibuprofen provide comparable levels of analgesia in ED patients presenting with moderate to severe pain. Unfortunately, 40% of all the patients had inadequate pain relief (pain score > or = 5) from either ketorolac or ibuprofen.
-
Randomized Controlled Trial Comparative Study Clinical Trial
Prospective, randomized, controlled trial of tissue adhesive (2-octylcyanoacrylate) vs standard wound closure techniques for laceration repair. Stony Brook Octylcyanoacrylate Study Group.
To compare a new tissue adhesive, 2-octylcyanoacrylate, with standard wound closure techniques for the repair of traumatic lacerations. ⋯ Wounds treated with octylcyanoacrylate and standard wound closure techniques have similar cosmetic appearances 3 months later.
-
Randomized Controlled Trial Clinical Trial
Local anesthesia for lacerations: pain of infiltration inside vs outside the wound.
To compare the pains of infiltration of a local anesthetic for simple lacerations when used from within the wound vs through intact skin. ⋯ Local anesthesia is less painful when injected from within a laceration as compared with intact skin.
-
Randomized Controlled Trial Clinical Trial
The effect of order on pain of local anesthetic infiltration.
To define the relationship between order of injection and pain of infiltration of buffered lidocaine. ⋯ The second injection of buffered lidocaine was found to be statistically more painful than the first in this protocol that controlled for all variables except for order of injection. Future studies involving paired comparisons should take this information into account.
-
Randomized Controlled Trial Clinical Trial
Does the use of topical lidocaine, epinephrine, and tetracaine solution provide sufficient anesthesia for laceration repair?
To determine: 1) the effectiveness of lidocaine, epinephrine, and tetracaine (LET) solution in eliminating or reducing the pain experienced in suturing superficial lacerations in adult patients; and 2) the effectiveness of LET in reducing the pain of local anesthetic injection. ⋯ Significantly fewer patients require an injectable anesthetic when LET is applied. Those who do require an injection may experience less discomfort. These advantages should be balanced against the 20 to 30 minutes necessary for the LET to take effect.