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

Authors : Serkan BİLGİN, Mehmet Göktuğ EFGAN
Pages : 796-801
Doi:10.16899/jcm.1341824
View : 56 | Download : 41
Publication Date : 2023-09-30
Article Type : Research Paper
Abstract :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 insert ignore into journalissuearticles values(saline spray); groups. Cooling spray was Cryos®Spray insert ignore into journalissuearticles values(Phyto Performance, Italy);, while placebo was chilled saline in an identical bottle. Pain scores and radiographic images were evaluated. Results: In 131 patients insert ignore into journalissuearticles values(mean age: 35.60±19.58 years, 26.7% fractures);, cooling spray insert ignore into journalissuearticles values(n=73); yielded a delta pain score of 1.74±1.88, while saline insert ignore into journalissuearticles values(n=58); had 0.84±1.54 insert ignore into journalissuearticles values(p=0.003);. For fracture patients, cooling spray\`s delta score was 2.26±1.88, compared to saline\`s 0.0±0.96 insert ignore into journalissuearticles values(<0.001);. Non-fracture patients showed similar efficacy between cooling spray insert ignore into journalissuearticles values(1.55±1.85); and saline insert ignore into journalissuearticles values(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.
Keywords : Soğutma spreyi, El bileği travması, ağrı

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