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Title

COMPARING LOW-DOSE INTRAVENOUS KETAMINE-MIDAZOLAM WITH INTRAVENOUS MORPHINE WITH RESPECT TO PAIN CONTROL IN PATIENTS WITH CLOSED LIMB FRACTURE

Pages

  502-508

Abstract

 Background: We assessed the effects of low-dose IV KETAMINE-midazolam versus MORPHINE on pain control in patients with CLOSED LIMB FRACTURE(s); and also compared the incidence of adverse events (cardio-pulmonary) between two groups.Materials and Methods: Th is prospective, single-blind, non-inferiority trial randomized consecutive emergency department (ED) patients aged 18-60 years to two groups: Receiving 300-500 mcg/kg KETAMINE plus 0.03 mg/kg MIDAZOLAM, or 0.05-0.1 mg/kg MORPHINE. Visual analogue score (VAS) and adverse events were verified during an interval of 30 minutes.Results: Two hundred and thirty-six patients were selected, among whom 207 were males (87.3%). The average age was 29±2, (range, 18-60 years). The VAS score at T30 (i.e., 30 minutes after initial analgesic dose) was significantly decreased compared with VAS score at T0, in both groups. No statistically significant difference, however, was observed between the two groups (-6.1±1.1 versus -6.2±1.0; P=0.16). With regard to systolic blood pressure and respiratory rate, however, a meaningful difference was noted between the two groups (1.5±6.4 versus -2.1±6.6; P=0.000 for SBP, and -0.2±1.1 versus -1.1±6.1; P=0.048 for RR).Conclusion: “Low-dose” intravenous KETAMINE plus MIDAZOLAM has the same analgesic effects as MORPHINE on pain control in trauma patients with CLOSED LIMB FRACTURE(s), in addition to less respiratory adverse events.

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    APA: Copy

    AHMADI, OMID, NASR ISFAHANI, MEHDI, & FEIZI, AWAT. (2014). COMPARING LOW-DOSE INTRAVENOUS KETAMINE-MIDAZOLAM WITH INTRAVENOUS MORPHINE WITH RESPECT TO PAIN CONTROL IN PATIENTS WITH CLOSED LIMB FRACTURE. JOURNAL OF RESEARCH IN MEDICAL SCIENCES (JRMS), 19(6), 502-508. SID. https://sid.ir/paper/631395/en

    Vancouver: Copy

    AHMADI OMID, NASR ISFAHANI MEHDI, FEIZI AWAT. COMPARING LOW-DOSE INTRAVENOUS KETAMINE-MIDAZOLAM WITH INTRAVENOUS MORPHINE WITH RESPECT TO PAIN CONTROL IN PATIENTS WITH CLOSED LIMB FRACTURE. JOURNAL OF RESEARCH IN MEDICAL SCIENCES (JRMS)[Internet]. 2014;19(6):502-508. Available from: https://sid.ir/paper/631395/en

    IEEE: Copy

    OMID AHMADI, MEHDI NASR ISFAHANI, and AWAT FEIZI, “COMPARING LOW-DOSE INTRAVENOUS KETAMINE-MIDAZOLAM WITH INTRAVENOUS MORPHINE WITH RESPECT TO PAIN CONTROL IN PATIENTS WITH CLOSED LIMB FRACTURE,” JOURNAL OF RESEARCH IN MEDICAL SCIENCES (JRMS), vol. 19, no. 6, pp. 502–508, 2014, [Online]. Available: https://sid.ir/paper/631395/en

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