Effect of Morphine versus Ketamine Injection for Pain Management in Patients with Long Bone Fractures based on Different Sit of Fractures
Author(s): Fatemeh Jahanian, Seyed Mohammad Hosseininejad, Hamed Amini Ahidashti, Farzad Bozorgi, Iraj Goli Khatir, Seyyed Hosein Montazar, Vahideh Azarfar
Abstract
In this study we evaluate the effect of morphine versus a low dose of ketamine injection for pain management in patients with long bone fractures based on different sit of fractures. This is a double-blind clinical trial, The patients in enrolled in the study are 18 to 65 years old With the upper or lower extremity long bone fractures And direct blunt trauma to the emergency department of the hospital, IRCT2017041221480N6. The patients were divided into two groups K and M. at zero minutes patients receive In group K 0.5mg/kg Ketamine and 0.1mg/kg morphine Slow intravenous for morphine group. The affected limb immobilized with a splint or sling and X-rays to be asked. After observing the fracture to the affected limb skin traction splint or plaster is done. Pain score at minute 30, 60, 90, 120, 180, 240 is measured and recorded. Pain score, blood pressure, pulse rate, respiratory complications related to medications Registration and treatment. Individuals randomly divided into two groups of 78 patients, morphine and ketamine group. Pain in the origin of time. In femoral fractures and the proximal humerus was highest level of pain, Ulnar and radial shaft fracture at the lowest levels were in the trunk. Ketamine As The safe, efficacious and appropriate drug can be use Alternative to morphine for treating pain associated with long bone fractures in the emergency department.
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