Intranasal fentanyl useful non-invasive option for severe renal colic: Study
Intranasal administration of fentanyl combination with ketorolac can be an appropriate, non-invasive, easy-to-use and fast alternative to the intravenous method to manage pain in these patients, suggests a recently published study.
The prevalence of kidney stones has increased in the late twentieth and through the twenty-first centuries. This has been attributed to a variety of factors including environmental changes, alterations in dietary habits, and increased prevalence of metabolic syndrome. Renal colic is among the common causes of sudden and severe pain, especially in tropical areas, and is considered as emergency management.
Intravenous fentanyl is commonly administrated to patients admitted to emergency departments, to control severe pain. Nevertheless, different doses of fentanyl can be delivered through other non-invasive ways such as the intranasal route. The analgesic efficacy of fentanyl administrated through intranasal; however, is unclear.
To provide with an answer to this, Narjes Nazemian et al, at the Department of Emergency Medicine, Kerman University of Medical Sciences, Kerman, Iran conducted a study to compare therapeutic efficiencies of intravenous and intranasal routes of fentanyl administration to manage pain and increase patients' satisfaction in those with severe renal colic pain referred to emergency departments.
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