Ultrasound Guided Regional Anesthesia for Acute Injury in Low Resource Settings

• Conditions: Pain Management; Acute Injuries
• Interventions: Procedure: ultrasound guided regional nerve block

• Registration Number: NCT02084225
• Lead Sponsor: Salmon, Margaret, M.D.

Brief Summary

The purpose of this study is to determine feasibility, perceived utility and sustainability of training local providers in ultrasound guided regional anesthesia for acute pain management in a limited-resource conflict setting.

Detailed Description

To the investigators knowledge, this is the first study of feasibility, perceived utility and sustainability of USRA as a pain management tool in a low-resource conflict setting and is one of the only large studies to date to assess USRA by local providers for emergent pain relief due to injury in patients presenting to an acute care center.

Study Timeline

• Study Start: 2012-01
• Status Verified: 2014-03
• Study First Submitted: 2014-03-09
• Study First Submitted QC: 2014-03-09
• Study First Posted: 2014-03-11
• Last Update Submitted: 2014-03-19
• Last Update Posted: 2014-03-20
• Primary Completion: 2014-10
• Study Completion: 2014-10

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• participants were chosen by hospital administration

Exclusion Criteria

• only chosen participants were included

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Course participants	ultrasound guided regional nerve block	Physicians, nurses and orthopedic officers who staff the emergency intake and orthopedic procedure area of HEAL hospital, Goma DRC, Black Lion Hospital, Addis Ababa and Kindu General Hospital in Kindu DRC. These participants recorded their nerve block intervention over one year for pain management and assessed patient pain level after 10 cc lidocaine.

Primary Outcome Measures

Name	Time	Method
Participant perceived utility of ultrasound guided nerve block	study start - ongoing (24 months)	Participants filled out a data sheet on each block performed. The participant stated yes/no if a block was found to have positive utility

Secondary Outcome Measures

Name	Time	Method
Participant course satisfaction	at course end (5 days)	Post course evaluation of course satisfaction and balance of didactic simulation and clinical scanning

Trial Locations

Locations (3)

HEAL Hospital; 🇨🇬 Goma, Congo

John Maurice Kikuni Salmu; 🇨🇬 Kindu, Congo

Black Lion Hospital; 🇪🇹 Addis Ababa, Ethiopia