The objective of this study is to compare two different anesthetic techniques in patients with an injury to the finger which requires anesthesia: traditional dorsal digital block and volar block. Primary objectives:- What is the difference in…
ID
Source
Brief title
Condition
- Administration site reactions
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The primary study outcomes are:
- Subjective pain score (VAS-score)
- Degree of anesthesia in the finger
Secondary outcome
The secondary study outcomes are:
- Complication rate
- Satisfaction among clinicians
Background summary
Injury of the finger is a common complaint in the Emergency Derpartment.
Frequently, patients need regional anesthesia of the finger to perform wound
care. The traditional dorsal digital block is used for many years. However,
this injection may be uncomfortable or even painfull for the patient. Recently,
a newer technique had been given more prominence: the volar block. In our
hospital this technique is allready routinely used by clinicians on the
Emergency Department.
Study objective
The objective of this study is to compare two different anesthetic techniques
in patients with an injury to the finger which requires anesthesia: traditional
dorsal digital block and volar block.
Primary objectives:
- What is the difference in subjective pain score (VAS-score) in patients
undergoing a traditional dorsal digital block versus a volar block?
- What is the degree of anesthesia in the finger after a traditional dorsal
digital block versus a volar block?
Secondary objectives:
- Which complications occur in both techniques?
- How is the satisfaction of both techniques among clinicians?
Study design
A prospective, randomized, multicenter trial
Study burden and risks
In common practice, both techniques are allready routinely used in the
Emergency Department. In this study, we want to investigate the difference
between both techniques, without additional intervention. Patients have to
answer one extra question of subjective pain score. This will take less than a
minute. Patient do not have any extra risks in participation of this study, in
comparison with the current practice.
Hilvarenbeekse weg 60
Tilburg 5022GC
NL
Hilvarenbeekse weg 60
Tilburg 5022GC
NL
Listed location countries
Age
Inclusion criteria
- Patients with an injury of the finger who present on the Emergency Department of the St. Elisabeth-Tweesteden Hospital or Jeroen Bosch Hospital
- Indication for regionale anesthesia is made
- Age * 18 years
Exclusion criteria
- Injuries on the dorsal side of the proximal phalanx
- Distracting injury
- Preexistent sensory disturbances or dysthropy
- Treatment on the ER is not possible due to the size or complexity of the injury
- Patient is not capable of specify a valid painscore, because of cognitive impairment or intoxication
- Patient with injury on two adjacant fingers
- Language barrier or other impossibility to obtain informed consent
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL49771.028.15 |