Italian Data Registry of Patients Undergoing Peripheral Nerve Block Performed in the Emergency Departments
Overview
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo di Alessandria
- Enrollment
- 500
- Locations
- 1
- Primary Endpoint
- Minimally Clinically Important Difference
Overview
Brief Summary
This data registry aim is to describe the practice of Point-of-Care Ultrasound Guided Regional Anaesthesia (POCUS-GRA) in emergency departments of nosocomial hospitals where, the organizational structure, has already provided for the implementation of peripheral nerve blocks (PNB) in common clinical practice for the treatment of acute pain due to bone fractures.
Detailed Description
Pain in emergency departments (EDs) is often inadequately treated. The consequences of inadequate treatment of pain defined as "oligoanalgesia," can have a negative impact on patient outcomes. The main reasons for this include lack of appropriate pathways, incorrect habits and aversion to opioid use. Pain is a symptom present in 78% of patients entering emergency departments, and among the main causes is trauma. A multimodal approach to pain treatment is more effective and minimizes side effects such as nausea, vomiting, and drowsiness due to the use of some drugs such as opioids. Over the past fifteen years, numerous studies have demonstrated the effectiveness of pain treatment using Point-of-Care Ultrasound Guided Regional Anaesthesia (POCUS-GRA) even outside the operating room. This data registry aim is to describe the practice of Point-of-Care Ultrasound Guided Regional Anaesthesia (POCUS-GRA) in emergency departments of nosocomial hospitals where, the organizational structure, has already provided for the implementation of peripheral nerve blocks (PNB) in common clinical practice for the treatment of acute pain due to bone fractures.
Study Design
- Study Type
- Observational
- Observational Model
- Other
- Time Perspective
- Prospective
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Age ≥18 years;
- •Patients with traumatic fractures of ≤2 districts (radiologically confirmed (RX or CT). Districts are:
- •Chest (one hemilateral) Pelvis (one hemilateral) Femur Leg Ankle Foot Shoulder Humerus Forearm Hand/fingers
- •Presence of written informed consent to the study.
Exclusion Criteria
- •Intubated patients
- •Patients with known dementia
- •Patients with delirium (assessed by Confusion Assessment Method)
- •Pregnant patients
- •Patients with allergies to local anesthetics
- •Patients unable to adequately communicate pain
Outcomes
Primary Outcomes
Minimally Clinically Important Difference
Time Frame: One hour after the end of the procedure
The percentage of patients, relative to the total, in whom the PNB (Peripheral Nerve Block) resulted in a reduction of at least 3 points in the VAS, defined as the MCID (Minimally Clinically Important Difference).
Secondary Outcomes
- Incidence of complications(7 days after the end of the procedure)
- Time of procedure(At the end of the procedure)
- Patient satisfaction(one hour after the end of the procedure)
- Operator satisfaction(After the end of the procedure)
- Pain before the PNB procedure(Before the PNB procedure)