Timecost of Intranasal Versus Intravenous Analgesia in Traumatic Pain
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 19
- 试验地点
- 2
- 主要终点
- Time required for administration of analgesic (minutes)
研究概览
简要总结
Prehospital treatment of acute traumatic pain is common in military practice. Analgesics are usually administered intravenously (IV). Research from the civil prehospital environment shows that obtaining IV access can be difficult and time consuming, delaying onset of treatment. The challenges for obtaining IV access in the military prehospital setting are even bigger, for example in combat environments. However, this has not been assessed.
Current guidelines also offer alternative routes of administration for analgesics, for example intranasal (IN) administration. IN administration is a fast, easy and effective route of administration. This study determines whether IN administration of analgesia is faster and leads to increased healthcare provider satisfaction compared to IV administration in patients with acute traumatic pain in a simulated military prehospital environment.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 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
- 是
入选标准
- •All navy healthcare personnel attending (simulation) training on prehospital trauma care.
排除标准
- 未提供
研究组 & 干预措施
IV first
Subjects in this group will be instructed to use intravenous administration in the first scenario and use intranasal administration in the second scenario.
干预措施: Intranasal administration (Other)
IN first
Subjects in this group will be instructed to use intranasal administration in the first scenario and use intravenous administration in the second scenario.
干预措施: Intravenous administration (Other)
IN first
Subjects in this group will be instructed to use intranasal administration in the first scenario and use intravenous administration in the second scenario.
干预措施: Intranasal administration (Other)
IV first
Subjects in this group will be instructed to use intravenous administration in the first scenario and use intranasal administration in the second scenario.
干预措施: Intravenous administration (Other)
结局指标
主要结局
Time required for administration of analgesic (minutes)
时间窗: During simulation training (expected <5 minutes)
Time interval starts when healthcare provider grabs the first required item (e.g. tourniquet, nasal atomizer, ampoule) from the medicine bag. Time interval ends upon completed administration of analgesic.
次要结局
- Total time spent on scene (minutes)(During simulation training (expected <10 minutes))
- Time required for obtaining IV access(During simulation training (expected <5 minutes))
- Satisfaction of the navy nurse regarding the used route of administration.(Directly after completion of simulation training)
- Time required preparing IN administration(During simulation training (expected <0.5 minute))
研究者
Robert Weenink
Principal Investigator
Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)