Effectiveness of topical anesthesia as an adjuvant to local anesthetic injection during open surgical release of trigger digit: a randomized controlled trial
- Conditions
- Trigger digitTrigger digit,Local anesthetics,EMLA,Randomized controlled trial
- Registration Number
- TCTR20190106001
- Lead Sponsor
- /A
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 100
-Trigger digit patients Quinnell grade II-IV or Quinnell grade I with failure of conservative treatment for 3 months
-Scheduled for open release surgery at Siriraj Hospital
-Age > 18 years
-Known history of sensitivity to local anesthetics of amide type (lidocaine, mepivacaine, prilocaine, bupivacaine, ropivacaine) or cream base
-Contraindication to EMLA:
•Patients treated with class III anti-arrhythmic drugs (amiodarone, bretylium, sotalol, dofetilide)
•Patients with congenital or idiopathic methemoglobinemia
-Concomitant ipsilateral carpal tunnel syndrome or de Quervain’s disease
-Recurrent disease at the same digit
-Multiple digits operate at the same time (> 2 digits)
-Communication problems
-History of depression or anxiety disorders
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method VAS for overall pain throughout the operation day of operation Visual analog scale
- Secondary Outcome Measures
Name Time Method VAS for pain during needle insertion day of operation Visual analog scale,VAS for pain during local anesthetic infiltration day of operation Visual analog scale,Thai short-form McGill pain questionnaire day of operation 15 items questionnaire about pain in 4-likert scale for each item,Patient's overall satisfaction day of operation 5-likert scale,Complications day of operation, 2 weeks follow-up Presence of complications