Use of Methoxyflurane (Penthrox) as an Antalgic in Hospital Trauma

Launched by UNIVERSITY HOSPITAL, TOURS · Apr 23, 2019

Keywords

ClinConnect Summary

Intra-hospital, the prevalence of pain is major; this is variable depending on the studies, but permanently above 60%. A study conducted in 2015 in Tours Adult Emergencies showed a prevalence of pain of 66.5% with an average waiting time of 2h28 before receiving an analgesic.

The pain management protocol at the Tours emergency department includes paracetamol for a numerical evaluation scale (EN) \< 3 and tramadol for an EN between 4 and 6. But these therapies have a delay of action too long or are given too late. An improvement in the management of pain in emergency is therefore necessary....

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Conscious patient
• • Age ≥ 18 years
• • Acute pain of monotraumatic origin
• • Pain \> 4 on a visual numerical scale
• Exclusion Criteria:
• • State of shock with unstable hemodynamics (PA \<90/60)
• • Suspected or proven trauma to the chest, abdomen or pelvis
• • Serious head trauma
• • Consciousness disorder with Glasgow score \<15
• • Patient who has already received analgesics (with the exception of paracetamol)
• • Patient receiving an intravenous approach for analgesia
• • Renal or hepatic disorders known
• • Hypersensitivity to fluoridated anesthetics or history of malignant hyperthermia in the patient or family
• • Pregnant or nursing woman
• • Patient under judicial protection
• • Non communicating patient or with difficulties of understanding
• Exclusion Criteria:
• • Intravenous injection for analgesia