Albany Medical College
The goal of this pilot randomized clinical trial is to learn if oral ketamine intervention can control pain in emergency department patients whose providers feel the need for additional pain medication. The main questions it aims to answer are: * Does oral ketamine result in a different mean change in pain scores compared with oral oxycodone? * Is there a difference in the need for additional opioid administration within 24 hours after the initial dose of study medication (oral ketamine vs oral oxycodone)? Researchers will compare oral ketamine to oral oxycodone to see if there is a difference in pain control or the need for additional opioid administration. Participants will: * Fill out a survey prior to study medication administration assessing pain scores, pain presentation, and medication history * Be randomized to and receive a dose of oral ketamine or oral oxycodone as the study medication for pain control * Fill out a survey assessing pain control, side effects, and safety outcomes * Receive follow-up phone calls at 1 and 3 months after enrollment to assess pain and opioid use
In an effort to combat the ongoing opioid crisis, healthcare providers continue to search for alternatives to opioids that are both safe and effective. While no medicine has an ideal profile, oral ketamine have attributes that may serve emergency department (ED) patients well when dealing with painful conditions. While IV ketamine has been well-studied in the ED setting and oral ketamine has been studied in the post-operative setting, there is limited data describing the safety and effectiveness of oral ketamine in the ED setting. Guided by colleagues from the Anesthesia Acute Pain Service, th…
Inclusion Criteria: * ED patient aged 18 years or older AND * English proficient AND * Able to give informed consent AND * Has a painful condition in the ED that includes any of the following: Musculoskeletal extremity pain, Musculoskeletal back or neck pain, Other nociceptive extremity pain * AND treating provider has deemed the patient necessitating 'second line pain therapy' (meaning: opioids or ketamine) Exclusion Criteria: Any of the following: * Prisoner status * Pregnant * Non-English proficient * Cannot give informed consent * Requires emergent intravenous pain medicine (as deemed…
A dose of oral ketamine administered as a second line pain management medicine in the emergency department.
A dose of oxycodone administered as a second line pain management medicine in the emergency department.
Arctuva estimate
Verify or correct the compensation shown for this listing.