Analgesia (narcotic)
Level |
Direction |
Primary Outcome |
Patient/Process |
Setting |
Reference |
I
|
Supportive (Green)
|
VAS score
|
Patient
|
ED-MD
|
Al B, Sunar MM, Zengin S, Sabak M, Bogan M, Can B, et al. Comparison of IV dexketoprofen trometamol, fentanyl, and paracetamol in the treatment of renal colic in the ED: A randomized controlled trial. Am J Emerg Med 2018; 36(4):571-6. Medline
|
I
|
Supportive (Green)
|
Pain relief
|
Patient
|
ED-MD
|
Miller JP., Schauer SG., Ganem VJ., Bebarta VS. Low-dose ketamine vs morphine for acute pain in the ED: A randomized controlled trial. Am J Emerg Med 2015; 33(3):402-8. Medline
|
I
|
Supportive (Green)
|
Analgesia
|
Patient
|
ED-MD
|
Safdar B., et al. IV morphine plus ketorolac is superior to either drug alone for treatment of acute renal colic. Ann Emerg Med 2006; 48:173-81. Medline
|
I
|
Supportive (Green)
|
Pain scores (using VAS)
|
Patient
|
ED-MD
|
Soleimanpour H., Hassanzadeh K., Vaezi H., Golzari SE., Esfanjani RM., Soleimanpour M. Effectiveness of intravenous lidocaine versus intravenous morphine for patients with renal colic in the emergency department. BMC Urol 2012; 12:13-2490-12-13. Medline
|
III
|
Supportive (Green)
|
Efficacy
|
Patient
|
ED-MD
|
O'Connor A., Schug SA., Cardwell H. A comparison of the efficacy and safety of morphine and pethidine as analgesia for suspected renal colic in the emergency setting. J Accid Emerg Med 2000; 17(4):261-4. Medline
|
Analgesia (NSAIDs)
Level |
Direction |
Primary Outcome |
Patient/Process |
Setting |
Reference |
I
|
Supportive (Green)
|
VAS score difference at 30 minutes
|
Patient
|
ED-MD
|
Cevik E., Cinar O., Salman N., et al. Comparing the efficacy of intravenous tenoxicam, lornoxicam, and dexketoprofen trometamol for the treatment of renal colic. Am J Emerg Med 2012; 30(8):1486-90. Medline
|
I
|
Supportive (Green)
|
Alleviation of pain
|
Patient
|
ED-MD
|
Eidinejad L, Bahreini M, Ahmadi A, Yazdchi M, Thiruganasambandamoorthy V, Mirfazaelian H. Comparison of intravenous ketorolac at three doses for treating renal colic in the emergency department: A noninferiority randomized controlled trial. Acad Emerg Med 2021; 28(7):768–75. Medline
|
I
|
Supportive (Green)
|
Pain relief
|
Patient
|
ED-MD
|
Labrecque M., Dostaler LP., Rousselle R., Nguyen T., Poirier S. Efficacy of nonsteroidal anti-inflammatory drugs in the treatment of acute renal colic. A meta-analysis. Arch Intern Med 1994; 154:1381-7. Medline
|
I
|
Supportive (Green)
|
Pain reduction at 30 mins
|
Patient
|
ED-MD
|
Motov S, Yasavolian M, Likourezos A, Pushkar I, Hossain R, Drapkin J, et al. Comparison of Intravenous Ketorolac at Three Single-Dose Regimens for Treating Acute Pain in the Emergency Department A Randomized Controlled Trial. Ann Emerg Med 2017; 70(2) 177-84. Medline
|
I
|
Supportive (Green)
|
Analgesia
|
Patient
|
ED-MD
|
Safdar B., et al. IV morphine plus ketorolac is superior to either drug alone for treatment of acute renal colic. Ann Emerg Med 2006; 48:173-81. Medline
|
Ketamine
Level |
Direction |
Primary Outcome |
Patient/Process |
Setting |
Reference |
I
|
Supportive (Green)
|
Pain scale
|
Patient
|
ED-MD
|
Abbasi S, Bidi N, Mahshidfar B, Hafezimoghadam P, Rezai M, Mofidi M, et al. Can low-dose of ketamine reduce the need for morphine in renal colic? A double-blind randomized clinical trial. Am J Emerg Med 2018; 36(3) 376-9. Medline
|
I
|
Supportive (Green)
|
Analgesia
|
Patient
|
ED-MD
|
Farnia MR, Jalali A, Vahidi E, Momeni M, Seyedhosseini J, Saeedi M. Comparison of intranasal ketamine versus IV morphine in reducing pain in patients with renal colic. Am J Emerg Med 2017; 35(3):434-7. Medline
|
I
|
Supportive (Green)
|
Pain relief
|
Patient
|
ED-MD
|
Miller JP., Schauer SG., Ganem VJ., Bebarta VS. Low-dose ketamine vs morphine for acute pain in the ED: A randomized controlled trial. Am J Emerg Med 2015; 33(3):402-8. Medline
|
Morphine
Level |
Direction |
Primary Outcome |
Patient/Process |
Setting |
Reference |
I
|
Supportive (Green)
|
Decrease in pain
|
Patient
|
ED-MD
|
Bektas F., Eken C., Karadeniz O., Goksu E., Cubuk M., Cete Y. Intravenous paracetamol or morphine for the treatment of renal colic: A randomized, placebo-controlled trial. Ann Emerg Med 2009; 54(4):568-74. Medline
|
I
|
Supportive (Green)
|
Changes in VAS score
|
Patient
|
ED-MD
|
Farnia MR, Jalali A, Vahidi E, Momeni M, Seyedhosseini J, Saeedi M. Comparison of intranasal ketamine versus IV morphine in reducing pain in patients with renal colic. Am J Emerg Med 2017; 35(3):434-7. Medline
|
I
|
Supportive (Green)
|
Pain reduction at 20, 40 minutes
|
Patient
|
ED-MD
|
Hosseininejad SM, Jahanian F, Erfanian Irankar S, Moosazadeh M, Hosseini SA, Shahbakhti N, et al. Comparing the analgesic efficacy of morphine plus ketamine versus morphine plus placebo in patients with acute renal colic: A double-blinded randomized controlled trial. Am J Emerg Med 2019; 37(6):1118-23. Medline
|