Comparison of Analgesic Efficacy of Cooling Spray and Saline Spray in Wrist Trauma; Randomized Controlled Double Blind Study

Yıl 2023, , 796 - 801, 30.09.2023

Serkan Bilgin , Mehmet Göktuğ Efgan

https://doi.org/10.16899/jcm.1341824

Öz

Background: Cooling spray application is commonly used in sports injuries to manage acute pain and reduce tissue edema. However, its effectiveness in treating acute trauma in the emergency department remains understudied. This prospective randomized controlled trial assessed the efficacy of cooling spray for pain management in patients with wrist injuries.
Methods: A randomized trial was conducted in a tertiary care hospital's trauma department. Patients with wrist trauma were assigned to cooling spray or placebo (saline spray) groups. Cooling spray was Cryos®Spray (Phyto Performance, Italy), while placebo was chilled saline in an identical bottle. Pain scores and radiographic images were evaluated.

Results: In 131 patients (mean age: 35.60±19.58 years, 26.7% fractures), cooling spray (n=73) yielded a delta pain score of 1.74±1.88, while saline (n=58) had 0.84±1.54 (p=0.003). For fracture patients, cooling spray's delta score was 2.26±1.88, compared to saline's 0.0±0.96 (<0.001). Non-fracture patients showed similar efficacy between cooling spray (1.55±1.85) and saline (1.16±1.60, p=0.258). Logistic regression indicated cooling spray reduced pain 1.174 times more effectively than saline.
Conclusions: Cooling sprays demonstrated superior acute pain control, notably in fractures, outperforming the placebo. Similar efficacy was observed in non-fracture cases.

Anahtar Kelimeler

Cooling Spray, Wrist Trauma, Analgesic

El Bileği Travmasında Soğutma Spreyi ve Salin Spreyin Analjezik Etkinliğinin Karşılaştırılması; Randomize Kontrollü Çift Kör Çalışma

Öz

Amaç: Soğutma spreyi uygulaması akut ağrıyı kontrol etmek ve doku ödemi ile başa çıkmak için genellikle spor yaralanmalarında kullanılır. Ancak, acil serviste akut travmanın tedavisindeki etkinliği yetersiz bir şekilde araştırılmıştır. Bu prospektif randomize kontrollü çalışma, bilek yaralanması olan hastalarda ağrı yönetiminde soğutma spreyinin etkinliğini değerlendirdi.

Gereç Yöntem: Bir üçüncü basamak hastanenin travma bölümünde randomize bir deneme yapıldı. Bilek travması olan hastalar soğutma spreyi veya plasebo (salin spreyi) gruplarına ayrıldı. Soğutma spreyi Cryos®Spray (Phyto Performance, İtalya) olarak kullanıldı, plasebo ise aynı görünüme sahip soğutulmuş bir salin şişesiydi. Ağrı skorları ve radyografik görüntüler değerlendirildi.

Bulgular: 131 hastada (ortalama yaş: 35.60±19.58 yıl, %26.7 kırık), soğutma spreyi (n=73) 1.74±1.88 delta ağrı skoru üretirken, salin (n=58) 0.84±1.54 (p=0.003) değerini verdi. Kırık hastalar için soğutma spreyinin delta skoru 2.26±1.88 iken salin grubunda 0.0±0.96 olarak saptandı (<0.001). Kırık olmayan hastalarda soğutma spreyinin (1.55±1.85) ve salinin (1.16±1.60, p=0.258) benzer etkinlik gösterdiği görüldü. Lojistik regresyon, soğutma spreyinin ağrıyı salin grubuna göre 1.174 kat daha etkili bir şekilde azalttığını gösterdi.
Tartışma: Soğutma spreyleri plaseboyu aşan akut ağrı kontrolü sağladı, özellikle kırıklarda daha başarılı oldu. Kırık olmayan vakalarda benzer etkinlik gözlendi.

Anahtar Kelimeler

Soğutma spreyi, El bileği travması, ağrı

Kaynakça

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