Do Nonopioid Medications Provide Effective Analgesia in Adult Patients With Acute Renal Colic?

Does intranasal fentanyl provide efficient analgesia for renal colic in adults?

INTRODUCTION Intranasal fentanyl provides rapid and powerful analgesia which is particularly interesting in patients without intravenous access. We propose to use it for analgesia in adults presenting renal colics. METHODS A prospective study was conducted from the 2nd January to February 2013 in our emergency department. Patients aged up to 18 years old who presented with renal colic were in...

Nonopioid analgesia improves outcomes.

In Reply:—We thank Chelly et al. for their interest in our case report that described major ambulatory surgery with continuous regional anesthesia and a disposable infusion pump. Although we appreciate their comments, we believe the use of continuous local anesthetic infusions at home is an investigational area of pain control. As a result, despite their institutional bias, many of the issues t...

Renal infarction in patients presenting with suspected renal colic*

Acute renal infarction is a serious medical emergency. The diagnosis is often delayed or missed as it is not common. Hence, the exact incidence of acute renal infarction is not known. Failure to consider renal infarction in the initial differential diagnosis results in a delay in diagnosis and treatment, which in turn leads to permanent loss of renal function. We present two cases of acute kidn...

Acute renal colic: An imaging update

Renal colic is a common cause of severe acute abdominal pain in clinical practice. Classical symptoms include acute frank pain radiating to the groin, nausea and vomiting. There is often laboratory evidence of haematuria. Men are more often affected than women and the incidence increases with age. Acute renal colic is usually due to renal or ureteric stones. Most stones measuring 5mm or less in...

Acute renal colic: Beyond kidney stones.