Evaluation of the Efficacy of the Superficial Cervical Plexus Block in Reducing Pain Associated With Internal Jugular Central Lines
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 14
- 试验地点
- 1
- 主要终点
- Visual Analog Scale Rating
研究概览
简要总结
This is a prospective randomized trial evaluating the effect of SCPB on reported patient pain following IJCL placement as compared to local infiltrate.
详细描述
The goal of this study is to determine if SCPBs provide more pain control than local infiltrate of anesthetic for internal jugular venous cannulation. The investigators hypothesis that patients who receive the SCPB will have a lower VAS rating on average than those who receive local infiltration following internal jugular venous cannulation. To test this, the investigators will be approaching eligible patients for inclusion in a research study. If the patients consent, the patients will be randomly assigned the standard of care treatment or the SCPB. The investigators will then ask the patients to rate pain following insertion of the central line. The investigators will also evaluate different aspects of the patient's hospital course to evaluate their outcomes.
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 (Participant)
盲法说明
Participants will be masked to the anesthesia route selected until after they report their pain scale report. Care provider cannot be blinded in order to complete.
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
- •Patients who are 18 years and older, and;
- •Present to the Akron General Emergency Department (Main) between March 1, 2021 and December 1, 2022, and;
- •Require IJVC as a part of their clinical care.
排除标准
- •Patients who are intubated; or
- •Patients who undergo CPR; or
- •Patients who have an allergy to lidocaine or bupivacaine; or
- •Patients who have a contraindication to receiving a superficial cervical plexus block such as cellulitis over Erb's point or the internal jugular vein, abnormal anatomy, or prior surgery to the area.
研究组 & 干预措施
Local Infitrate
干预措施: Local Infiltrate (Procedure)
SCPB
干预措施: Superficial Cervical Plexus Block (Procedure)
结局指标
主要结局
Visual Analog Scale Rating
时间窗: 30 minutes post central line placement
The average Visual Analog Scale (VAS) rating in patients who receive the SCPB during internal jugular venous cannulation versus the average VAS in patients receiving local infiltration. The scale is from 0-10, with 0 meaning no pain and 10 meaning the most pain I have ever experienced.
次要结局
- Complications(Duration of emergency department and inpatient encounter, typically no more than 7 days.)
研究者
Robert Stenberg
Principle Investigator, Ultrasound Director, Assistant Professor, Emergency Medicine Physician
Cleveland Clinic Akron General