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Morphine Plus Placebo vs Morphine Plus Acetaminophen for Acute Pain in the Emergency Department: A Randomized Clinical Trial - PubMed

3 hours ago
  • #pain management
  • #clinical trial
  • #emergency medicine
  • Study compares morphine plus placebo vs morphine plus acetaminophen for acute pain in emergency departments (EDs).
  • Multicenter, double-blind, randomized, placebo-controlled noninferiority clinical trial conducted in 11 French EDs.
  • Participants were adults (≥18 years) with severe acute pain (NRS score ≥5).
  • Primary outcome: mean change in NRS pain score from baseline to 30 minutes.
  • Noninferiority margin set at 1 point.
  • Results show morphine plus placebo did not meet noninferiority criterion compared to morphine plus acetaminophen.
  • Acetaminophen may have potential benefit as an adjunct to morphine for acute pain in EDs.