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Acupuncture Versus Titrated Morphine in Patients With Renal Colic

Phase 3
Completed
Conditions
Renal Colic
Interventions
Procedure: Traditional Acupuncture Session
Registration Number
NCT02781415
Lead Sponsor
University of Monastir
Brief Summary

The aim of this study is to compare the clinical efficacy and safety profiles of a 30 minutes acupuncture session performed at an ER of a tertiary hospital versus titrated intravenous morphine in the management of acute severe pain syndromes (defined as a visual analogue scale (VAS) score \>/= 70) taking for example acute renal colic.

Detailed Description

acupuncture session performed at an ER of a tertiary hospital versus titrated intravenous morphine in the management of acute severe pain syndromes (defined as a visual analogue scale (VAS) score \>/= 70) taking for example acute renal colic.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
200
Inclusion Criteria
  • age > 18 years old
  • Presenting with acute non complicated renal colic
  • Baseline VAS score >/= 70
Exclusion Criteria
  • complicated renal colic
  • VAS score < 70
  • Pain of traumatic origin
  • Coagulation abnormalities
  • Skin affections impairing the use of pre-specified insertion points
  • Enable to use the VAS
  • Patients who received analgesics less than 6 hours prior to enrollment
  • Patients refusing or enable to give written informed consent
  • Pregnant women

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
AcupunctureTraditional Acupuncture SessionTraditional Acupuncture Session:Patients in this group will benefit from a 30 minutes acupuncture session made by an experimented physician.
Titrated MorphineMorphine TitrationMorphine Titration:Patients will receive an intravenous titration of morphine by a qualified nurse.
Primary Outcome Measures
NameTimeMethod
Pain score Changeat baseline and 10, 20, 30, 45 and 60 minutes after the start of intervention

Pain score is measured by a 100 millimeter visual analogue scale (VAS) and corresponds to the severity of the pain felt by the patient and varying from 0 (corresponding to no pain) to 100 (corresponding to the maximum imaginable pain).

Secondary Outcome Measures
NameTimeMethod
Number of participants with treatment-related adverse eventsduring the 1 hour protocol and up to 2 hours after

Corresponds to the occurence of side effects related to the intervention. Side effects occurence is evaluated via a checklist for each study group and the degree of amputability is evaluated via a 3 point likert scale (1: not probable, 2: probable and 3 : very probable / almost certain).

In the morphine group we followed patients for the occurence of drowsiness, dizziness, nausea and vomiting, respiratory distress and hypotension.

In the acupuncture group we followed patients for the occurence of local rush / bleeding / itching, needle blockage and fainting

Trial Locations

Locations (1)

Fattouma Bourguiba University Hospital

🇹🇳

Monastir, Tunisia

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