Ultrasound Guided Versus Landmark Guided Small & Medium Joint Arthrocentesis
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 30
- 试验地点
- 2
- 主要终点
- Superiority of Method of arthrocentesis
研究概览
简要总结
Arthrocentesis is the removal of synovial fluid for analysis of pathologic processes. Small & medium joint arthrocentesis will be defined as the following joints: elbow, wrist, finger, ankle and toe. Ultrasound (US) and landmark (LM) small & medium joint arthrocentesis are both performed within the clinical setting. Both techniques are considered standard of care. Selection of which technique to use is dependent upon the physician's preference. There is currently limited data comparing the two methods. The investigators hope to determine if one modality is more effective in terms of success rate, number of attempts, and time to complete the procedure.
详细描述
Patients presenting to the Emergency Department who are 18 years old or older, who do not belong to a vulnerable group, requiring small or medium joint arthrocentesis will be included in this trial. The investigators will randomize each patient into LM vs US. Data collected will include number of attempts to tap the joint, success rate, and time for procedure to be completed. The arthrocentesis will be performed by PGY-3 residents only. A 21 gauge needle will be used for the arthrocentesis.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Care Provider)
入排标准
- 年龄范围
- 18 Years 至 99 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •All patients who require an arthrocentesis of a small and/or medium joint (defined previously)
排除标准
- •Coagulopathic patients
- •Patients on anticoagulants
- •Patients with cellulitis overlying the joint.
- •Patients with artificial joints
- •Adults Unable to Consent
- •Vulnerable Populations
结局指标
主要结局
Superiority of Method of arthrocentesis
时间窗: 1 day
Number of attempts until successful arthrocentesis
次要结局
- Success of method(1 day)