URG-L: [Pas de sujet]

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non. Je fais diclofénac 50mg per os  tid  + antalgique variable selon la conf de consensus SFMU. oui delirium probable il manque plus qu'un antispasmodique, du citrate de molybdène et du magnésieum et du metothrexate. Ah j'oubliais la vasopressine. Pour les Ca++ inhinbiteurs, il y a des base théoriques mais rien de p lus probant que ça ;-): Ann Emerg Med. 1989 Apr;18(4):352-4. Related Articles, Links Comment in: Ann Emerg Med. 1990 Jul;19(7):841-2. Nifedipine for the relief of renal colic: a double-blind, placebo-controlled clinical trial. Caravati EM, Runge JW, Bossart PJ, Martinez JC, Hartsell SC, Williamson SG. Division of Emergency Medicine, University of Utah School of Medicine, Salt Lake City. Pain from ureteral stones is believed to be due to spasm and hyper-peristalsis of the involved ureter. Nifedipine has been shown to decrease human ureteral spasm in vitro. Conflicting results have been reported concerning the clinical efficacy of nifedipine in relieving acute renal colic. This prospective, double-blind, crossover clinical trial evaluated the acute pain relief obtained in 30 patients who had ureteral stones. All patients had ureteral stones documented either by plain abdominal radiograph (six), intravenous pyelogram (16), or passage of the stone(s) in the urine (eight). Each patient served as his own control. The mean pain relief scores for placebo versus 10 to 20 mg oral nifedipine were 0.7 +/- 1.8 and 1.2 +/- 2.5, respectively, as measured on a visual analogue scale (P = .404). Seven patients received clinically significant relief associated with nifedipine, and three patients received relief from placebo (P = .300). Twenty patients (66%) did not experience clinically significant relief from either treatment. We conclude that nifedipine does not differ significantly from placebo in providing relief from acute renal colic. ----- Original Message ----- From: Alain Vadeboncoeur To: [EMAIL PROTECTED] Sent: Tuesday, February 10, 2004 3:25 AM Subject: URG-L: [Pas de sujet] Salut,   Y a-t-il des gens parmi vous qui donnent de la nifedipine XLpour quelques jours au patients souffrant de colique nephritique?   Je lisais la petite recette du Parkust Exchange de ce mois: Nifedipine XL pour 7 jours,Prednisone 50 die pour 5 jours,ketorolac QID,TMP-SMX 1 co die pour 5 jours,opiace prn...   Heu...Y en a qui font ça?   C.   ***   A première vue, ça semble du délire complet non?   Un antihypertenseur (anticalcique donc moindres contractions musculaires lisses?)   De la prednisone (anti-inflammatoire mettons puissant)   Ketorolac ça je comprends, mais il y en a de moins chers.   Antibiothérapie d'emblée??? Vous en avez vu souvent vous des coliques néphrétiques s'infecter?   Opiacés prn ça je comprends aussi.   C'est quoi le Parkust exchange? De l'échangisme médicalisé?   Alain ----- Original Message ----- From: Catherine Bich To: [EMAIL PROTECTED] Sent: Monday, February 09, 2004 8:08 PM Subject: URG-L: [Pas de sujet]     --- Outgoing mail is certified Virus Free. Checked by AVG anti-virus system (http://www.grisoft.com). Version: 6.0.580 / Virus Database: 367 - Release Date: 06/02/2004