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Early Ultrasound-guided Nerve Block for Painful Hand Injuries in the Emergency Department

NCT03195413 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 15

Last updated 2018-10-24

No results posted yet for this study

Summary

This study aims to determine whether early initiation of temporary nerve block therapy improves patient satisfaction, decreases patient pain and discomfort, decreases the use of dangerous medications such as narcotics, and frees hospital resources. Hand injuries, such as blast injuries from fireworks, can be very painful. In the emergency department, providers generally use narcotic pain medications to control pain, but these have significant side effects. It is possible that temporary nerve blocks, guided by ultrasound, can be safe and useful in the emergency department. They have been shown to be effective in several studies around the country. The goal of this study is to build on the experience of others to increase the use of US-guided regional nerve blocks as a form of pain management in hand and distal forearm injuries in the Harborview Medical Center (HMC) emergency department. By working with a multidisciplinary team, the study investigators hope to use this technique to decrease narcotic use and improve pain control, and to provide important data for Emergency Medicine physicians elsewhere who are considering incorporating this nerve block technique into their practice.

Conditions

  • Hand Injuries
  • Hand Injuries and Disorders

Interventions

PROCEDURE

Ultrasound-guided forearm nerve block

An ultrasound machine will be used to identify the median, radial, and ulnar nerves in the forearm, so that a needle may be used to apply lidocaine into the soft tissue space around those nerves.

DRUG

1:1 volume measured solution of: 1% lidocaine without epinephrine and 0.5% bupivacaine without epinephrine

This is the anesthetic solution that will be administered during the ultrasound-guided nerve block

DEVICE

Bedside ultrasound machine

This is the device that will be used to visualize tissues during the ultrasound-guided nerve block.

Sponsors & Collaborators

Principal Investigators

  • Michael Vrablik, DO · University of Washington Emergency Medicine

Study Design

Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Model
PARALLEL

Eligibility

Min Age
18 Years
Sex
ALL
Healthy Volunteers
Yes

Timeline & Regulatory

Start
2017-07-01
Primary Completion
2018-07-10
Completion
2018-07-10

Countries

  • United States

Study Locations

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Entities

Companies

Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT03195413 on ClinicalTrials.gov