Intranasal Sufentanil Pain-management at Entrance of Emergency Department : Influence on Pain-relief Delay
NCT01954368 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 144
Last updated 2016-12-01
Summary
Non-invasive and simple, intranasal (IN) route of administration seems promising for pain management in the Emergency Department (ED), especially when used precociously by triage nurse to rapidly deliver the first opioid dose to severely painful patients.
This randomized double-blind placebo-controlled study will focus on severe traumatic pain experienced by adults admitted in our ED.
We hypothesized that, in addition to traditional morphine titration, a single dose of IN sufentanil given at triage would significantly increase the proportion of patients relieved 30 minutes after their ED admission.
Time to discharge, proportion of side effects and satisfaction rates will also be recorded.
Conditions
- Single Traumatic Limb Injury With Severe Pain (Score > 5/10 on Numerical Pain Scale)
Interventions
- DRUG
-
As soon as possible from ED admission, using a study drug volume schedule, triage nurse will administer to the patient a planned weight-based volume of intranasal placebo (normal saline solution). Half of the dose will be administrated in each nostril. The patient will then rapidly be brought to emergency room and after his pain being reassessed, appropriate treatment (following current recommendations) will be given by the ED nurse.
- DRUG
-
Sufentanil
As soon as possible from ED admission, using a study drug volume schedule, triage nurse will administer to the patient a weight-based volume (corresponding to 0,4 mcg/kg) of intranasal sufentanil. Half of the dose will be administrated in each nostril. The patient will then rapidly be brought to emergency room and after his pain being reassessed, appropriate treatment (following current recommendations) will be given by the ED nurse.
Sponsors & Collaborators
-
Centre Hospitalier Universitaire de Nice
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2014-01-31
- Primary Completion
- 2016-03-31
- Completion
- 2016-03-31
Countries
- France
Study Locations
More Related Trials
-
Intranasal Fentanyl as an Adjunct to Lidocaine Infiltration in Adults Undergoing Abscess Incision and Drainage
NCT03872700 ·Status: COMPLETED ·Phase: PHASE3
-
Ketamine Versus Etomidate for Rapid Sequence Intubation
NCT01823328 ·Status: COMPLETED ·Phase: PHASE4
-
Intravenous Lidocaine Versus Morphine for Severe Pain in the ED
NCT02912195 ·Status: COMPLETED ·Phase: PHASE4
-
Prehospital Analgesia With Intra-Nasal Ketamine
NCT02753114 ·Status: COMPLETED ·Phase: PHASE4
-
Comparing Nebulized Ketamine,Nebulized Ketamine and Precedex and IM Ketamine for Analgesia in Pediatric Burn
NCT07086690 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1
-
Combination of Nitrous Oxide 70% With Fentanyl Intranasal for Procedural Analgosedation in Children
NCT02533908 ·Status: COMPLETED ·Phase: PHASE3
-
Characterization of the Temporal Profile of the Anti-nociceptive Effect of Ketamine Bolus Measured With ANI
NCT06344858 ·Status: COMPLETED
-
Effect of Lidocaine/Dexamethasone on the Success of IANB
NCT03531970 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Ketamine for Pain in the Emergency Department
NCT03896230 ·Status: TERMINATED ·Phase: PHASE4
-
The Anesthetic Efficacy of 3% Mepivacaine Plus 2% Lidocaine With 1:100,000 Epinephrine for Lower Jaw Dental Injections
NCT01574807 ·Status: COMPLETED ·Phase: PHASE4
-
Simultaneous Application of Ketamine and Lidocaine During an Ambulatory Infusion Therapy as a Treatment Option in Refractory Chronic Pain Conditions
NCT05103319 ·Status: COMPLETED
-
IN Ketamine Vs IN Midazolam and Fentanyl for Abscess I&D
NCT02635282 ·Status: COMPLETED ·Phase: PHASE4
-
Effect of Systemic Ropivacaine on Hyperalgesia, Flare Reaction and Peripheral Nerve Excitability
NCT00900913 ·Status: COMPLETED ·Phase: PHASE4
-
Intranasal Ketorolac for Postsurgical Pain in Dental Implant Patients
NCT01490931 ·Status: COMPLETED ·Phase: PHASE4
-
Lumbar Puncture in Emergency Under Nitrous OXide
NCT03941990 ·Status: UNKNOWN ·Phase: PHASE4
-
Etomidate Versus Ketamine for Emergency Endotracheal Intubation: a Prospective Randomized Clinical Trial
NCT02643381 ·Status: COMPLETED ·Phase: PHASE4
-
Comparing Cardiovascular Effects of 1:100,000 and 1:200,000 Epinephrine Solutions
NCT02735018 ·Status: COMPLETED ·Phase: PHASE4
-
Tetracaine Compared to Placebo for Reducing Pain With Palivizumab - A Pilot Study
NCT00484393 ·Status: COMPLETED ·Phase: PHASE4
-
Lidocaine and Ketamine Levels in Plasma After Simultaneous Lidocaine/Ketamine Infusions
NCT05906121 ·Status: COMPLETED
-
Safety and Efficacy of Lidocaine Versus Ketamine Infusion for Resistant Orofacial Pain
NCT07250867 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Intravenous Lidocaine for Treating Intrathecal Fentanyl Induced Pruritus
NCT06243120 ·Status: NOT_YET_RECRUITING ·Phase: EARLY_PHASE1
-
Adjunctive Nitrous Oxide During Emergency Department Propofol Sedation in Adults
NCT02410707 ·Status: COMPLETED ·Phase: NA
-
Pain Free Laceration Repairs Using Intra-nasal Ketamine
NCT03053947 ·Status: COMPLETED ·Phase: PHASE2
-
Effect of Sodium Bicarbonate Buffered Lidocaine on the Success of IAN Block of Teeth With Irreversible Pulpitis
NCT02226913 ·Status: COMPLETED ·Phase: PHASE3
-
Buffered vs. Unbuffered Local Anesthesia in Mandibular Molars Diagnosed With Symptomatic Irreversible Pulpitis
NCT05227300 ·Status: COMPLETED ·Phase: PHASE4