Timecost of Intranasal Versus Intravenous Analgesia in Traumatic Pain
- Conditions
- Acute Pain Due to TraumaAnalgesia
- Interventions
- Other: Intravenous administrationOther: Intranasal administration
- Registration Number
- NCT06351137
- Brief Summary
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.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 19
- All navy healthcare personnel attending (simulation) training on prehospital trauma care.
none
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- CROSSOVER
- Arm && Interventions
Group Intervention Description IN first Intravenous administration Subjects in this group will be instructed to use intranasal administration in the first scenario and use intravenous administration in the second scenario. IN first Intranasal administration Subjects in this group will be instructed to use intranasal administration in the first scenario and use intravenous administration in the second scenario. IV first Intranasal administration Subjects in this group will be instructed to use intravenous administration in the first scenario and use intranasal administration in the second scenario. IV first Intravenous administration Subjects in this group will be instructed to use intravenous administration in the first scenario and use intranasal administration in the second scenario.
- Primary Outcome Measures
Name Time Method Time required for administration of analgesic (minutes) 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.
- Secondary Outcome Measures
Name Time Method Total time spent on scene (minutes) During simulation training (expected <10 minutes) Time interval starts when healthcare provider arrives at the patient. Time interval ends when analgesia has been administered and used materials have been disposed.
Time required for obtaining IV access During simulation training (expected <5 minutes) Time interval starts when healthcare provider grabs the first required item (e.g. tourniquet or alcohol wipe) from the medicine bag. Time interval ends when the IV catheter has been taped or flushed (whichever comes last).
Satisfaction of the navy nurse regarding the used route of administration. Directly after completion of simulation training This is rated on a 0-10 Likert scale, where 0 represents "extremely unsatisfactory" and 10 represents "extremily satisfactory"
Time required preparing IN administration During simulation training (expected <0.5 minute) Time interval starts when healthcare provider grabs the nasal atomizer. Time interval ends when the nasal atomizer has been placed on the syringe.
Trial Locations
- Locations (1)
Amsterdam UMC
🇳🇱Amsterdam, Noord-Holland, Netherlands