Intradermal sterile water may achieve pain relief in patients with severe renal colic
Turkey: A recent study published in Urolithiasis investigating the effectiveness of intradermal sterile water application in patients with severe renal colic found the method to be much slower in achieving pain control than other methods. Although all methods were effective in relieving the pain of the patients.
Kidney stone disease is a common debilitating condition which is diagnosed using computed tomography (CT). The guidelines aim to decrease radiation exposure to patients by minimizing the use of CT scans and X-rays. Renal colic is a very painful condition that affects about 12% of the population and causes 1.2 million to seek care in several healthcare facilities each year; accounting for 1% of all hospital admissions and 1% of all Emergency Department (ED) visits.
Recurrence rates approach nearly 50% after 10 years in 50% of people with a history of kidney stones. Renal colic pain is multifactorial and is related to the obstruction of urinary flow with a subsequent increase in intra-ureteral and intra-renal pressure and prostaglandins-mediated ureteral spasm.
Considering the importance of a fast and effective treatment for renal colic pain patients in the emergency department for both clinicians' patient management and patients' comfort, Rohat Ak, Kartal Dr Lütfi Kırdar City Hospital, Kartal, Istanbul, Turkey, and colleagues primarily aimed to test the efficacy of intradermal sterile water application as an effective and rapid treatment in severe renal colic.
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