NCT07158736招募中不适用
Ultrasound-Guided Genicular Nerve Block for Knee Pain in the Emergency Department: A Randomized Controlled Trial
适应症
干预措施
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 34
- 试验地点
- 4
- 主要终点
- Pain level
研究概览
简要总结
Patient with atraumatic knee pain without a large knee effusion on x-ray will be randomized to receive either a genicular nerve block (GNB) or standard of care in the emergency department.
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
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Atraumatic knee pain
- •>17 years age
- •X-ray of the knee obtained in the ED
- •Initial pain score (numeric rating scale) 5-10
排除标准
- •Fracture or dislocation on x-ray
- •large knee joint effusion identified on x-ray
- •allergy or contraindication to local anesthetics
- •History of local anesthetic systemic toxicity after receiving local anesthetics
- •Pregnancy
- •Incarcerated
- •History of knee replacement of affected knee
- •Concern for septic joint
- •Overlying cellulitis
- •Hemodynamic instability
- •Altered mental status or inability to consent for procedure.
研究组 & 干预措施
Genicular Nerve Block
Experimental
This arm of patients (17 total) will receive the genicular nerve block for their knee pain.
干预措施: Genicular nerve block with bupivacaine and corticosteroids (Procedure)
Standard of Care
Active Comparator
This arm of patients (17 total) will receive standard of care analgesia for their knee pain
干预措施: Standard of Care (Other)
结局指标
主要结局
Pain level
时间窗: 1 hour post-enrollment
Measured by numeric rating scale: 0 (minimum value) - 10 (maximum value)
次要结局
- Difference in Duration of Analgesia(24 hours)
- Difference in AP-POQ-RED score(1 hour after enrollment)
- Difference in length of stay in the emergency department(Average 1 hour)
研究者
研究点 (4)
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