IRCT20210328050784N1 IRCT 2021-04-13 Mazandaran University of Medical Sciences Comparative study of morphine effect by intranasal and intravenous methods in orthopedic surgeries Comparative study of morphine effect by intranasal and intravenous methods in orthopedic surgeries in the upper limb 2021-04-21 anticipated 78 Complete https://irct.ir/trial/55249 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: A simple random sampling method will be used. Randomization block permutation was used to assign groups. Patients participating in the study will be divided into two groups of 39 using 4 blocks and letters A and B (for group equality). For block permutation randomization, the sealed envelope method with random sequence will be used. A sealed envelope containing the two letters A and B is inserted into the patient file, which is opened before the operation. People in group A will receive morphine intravenously and people in group B will receive intranasal morphine, Blinding description: The blinding method will be one-way blind and only by the analyzer. Due to the knowledge of the facilitator and the researcher, as well as the patient about the method of using the drug, they will not be able to blind. N/A Orthopedic surgeries on the upper limbs. Intervention 1: Intervention group: First: Use of 2 cc morphine by intravenous injection in recovery to relieve patient pain. Intervention 2: Intervention group: Second: using 2 cc of morphine by intranasal method, which is poured into each nostril using 24 drops. No - There is not a plan to make this available Justification or reason for not sharing IPD is It will not be published due to the dissatisfaction of the participants in publishing the information.