Pain medicine

Nitrous oxide for the treatment of complex regional pain syndrome: a randomized blinded trial

Reg Anesth Pain MedPublished Randomised controlled trial

Primary resultResult — go to the resultDifference in means −0.57 points 95% CI −1.42 to 0.28

Authors' conclusion

Compared with air/oxygen, 2 hours of nitrous oxide/oxygen exposure for three sessions did not provide meaningful therapeutic potential for patients with chronic CRPS.

Study context

Population
Patients with a diagnosis of Complex Regional Pain Syndrome (CRPS)
Participants
44 patients
Comparison
Nitrous oxide exposure vs placebo air/oxygen mixture
  • Nitrous Oxiden = 20
  • Air-Oxygenn = 24reference
Primary endpoint
Patient-reported pain scores
Follow-up
1 week and 1 month
Methodological detailsblinded, placebo-controlled
  • Blinded
  • Placebo-controlled

Primary result

As reported in the abstract

Difference in means

−0.57 points

95% CI −1.42 to 0.28

P = 0.19

Nitrous Oxide vs Air-Oxygen
difference in means −0.57 points (95% CI −1.42 to 0.28); P = 0.19

Secondary outcomes

OutcomeEstimate
Physical health (PROMIS-29 v2, mean Z-score)difference in mean Z-scores 0.13 (95% CI −0.16 to 0.43)
Mental health (mean Z-score)difference in mean Z-scores 0.087 (95% CI −0.31 to 0.48)
Patient Global Impression of Change scoredifference −0.7 (95% CI −1.85 to 0.46)

Original publication

Nitrous oxide for the treatment of complex regional pain syndrome: a randomized blinded trial. Reg Anesth Pain Med. Published 28 October 2023. doi:10.1136/rapm-2023-104537

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