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Oral Diclofenac Potassium Versus Intravenous Acetaminophen in Acute, Isolated, Closed-Limb Trauma Publisher Pubmed



Momeni M1, 2 ; Vahidi E1, 2 ; Badrizadeh M1, 2 ; Naderpour Z3 ; Saeedi M2
Authors
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Authors Affiliations
  1. 1. Emergency Medicine Research Center, Shariati Hospital, United States
  2. 2. Emergency Medicine Department, Prehospital Emergency Research Center, Tehran University OfMedical Sciences, North Amirabad St, Tehran, Iran
  3. 3. Internal Medicine Department, Tehran University of Medical Sciences, Tehran, Iran

Source: Advanced Emergency Nursing Journal Published:2019


Abstract

Pain control is an important concern in limb trauma. The most ideal agent for this purpose varies among different hospitals. The objective of this study was to compare the analgesic effect of oral diclofenac potassium versus intravenous acetaminophen in patients with limb trauma. This was a double-blind randomized clinical trial conducted on 60 adult patients. Oral diclofenac potassium (50 mg) was given in Group D, and intravenous acetaminophen (1 g in 500 ml normal saline over 20 min) was administered in Group A. Patients' pain scores (visual analogue scale) were recorded and compared at baseline, 5, 15, 30, 60 min, and 4 hr after drug administration. The mean age was 42.62 ± 15.42 and 38.04 ± 17.48 years in Group A and Group D, respectively. No significant change was observed between the 2 groups (p = 0.11). In this study, both drugs could decrease the pain score effectively and safely in isolated limb trauma. Copyright © 2019 Wolters Kluwer Health, Inc. Unauthorized reproduction of this article is prohibited.