About this trial
This study aims to compare the analgesic effectiveness and side effects of intranasal ketorolac versus intranasal ketamine for reducing pain prior to digital nerve block procedures in patients with finger injuries in emergency department.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age: 18-65 years
Weight > 50 kg
Requires digital nerve block
Able to provide informed consent
Disqualifiers
Active peptic ulcer disease (PUD)
History of hypersensitivity to NSAIDs
Pregnancy and breastfeeding
Renal failure
Trial design
Parallel
Treatments tested in this trial
Intranasal Ketorolac Tromethamine
Drug30 mg ketorolac will be administered intranasally using mucosal atomizer. Half dose (0.5 cc) in each nostril, Given 5 minutes before digital nerve block.
Intranasal ketamine
Drug50 mg ketamine will be administered intranasally using mucosal atomizer,. Half dose (0.5cc) in each nostril, Given 5 minutes before digital nerve block
Treatment groups
Trial outcomes
Primary outcomes
Block pain intensity
The numerical rating score (NRS) will be used for the study. The NRS ranges from 0 (no pain) to 10 (very severe pain). The higher the pain scores the higher the pain severity. The pain severity will be asked from the patients.
Secondary outcomes
Nasal irritation
We will ask the patients about this outcome use a 3-level Likert-like scale.
Side effects
The patients will be assessed every 15 minutes for this outcome.
Patient satisfaction score
The patients will be asked about their satisfaction using a 3-level Likert like scale.
Locations
Sponsors and contacts
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