Double-dorsal Versus Single-volar Digital Subcutaneous Anaesthetic Injection for Finger Injuries in the Emergency Department: A Randomised Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 160
- 试验地点
- 1
- 主要终点
- Anesthesia pain score
研究概览
简要总结
The aim of this study is to compare the traditional dorsal double injection digital block with the palmar single injection technique in the suturing of acute traumatic hand finger lacerations in terms of injection pain score (NRS), anesthesia onset time, and success of anesthesia.
It is understood that single injection digital block and double injection digital block techniques do not have significant advantages over each other in terms of pain levels and procedure times.
However, the need for rescue anesthesia was evaluated to be lower in the single injection digital block technique. This difference is especially due to measurements in the volar region incisions.
According to the results of this study, we think that choosing the single injection digital block technique for volar region incisions is a more rational approach, especially in terms of the data of the need for rescue anesthesia.
详细描述
Randomized, parallel controlled, open labeled experimental study
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 (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Between 18-65 years of age
- •Isolated traumatic acute hand finger lacerations requiring suturing
- •Admissions within 6 hours of injury
- •Patients who can cooperate with the NRS score
- •Patients who gave consent
排除标准
- •Vein, nerve and tendon lacerations on the hand that require repair
- •Amputation or bone fracture
- •Those who have used analgesics in the last 12 hours
- •Hemodynamically unstable patients
- •Known allergy to prilocaine hydrochloride
研究组 & 干预措施
Single injection palmar digital block
The needle was inserted into the subcutaneous region from the palmar side to the root of the proximal phalanx, perpendicular to the frontal plane and the finger. For anesthesia, 3 ml of anesthetic agent (prilocaine hydrochloride) was applied to the described point with this single injection and the needle was slowly removed.
干预措施: Palmar digital block (Procedure)
Double injection dorsal digital block
The needle was inserted into the proximal dorsal root of the proximal phalanx, into both the medial and lateral parts, perpendicular to the fingers and the frontal plane. After the aspiration, the injection was performed slowly and the needle was withdrawn concurently. A total of 3 ml of anesthetic agent (prilocaine hydrochloride) was injected into both the medial and lateral parts of the finger, 1.5 ml for each side.
干预措施: Dorsal digital block (Procedure)
结局指标
主要结局
Anesthesia pain score
时间窗: 3rd minute
Numerical rating scale (NRS): 0 to 10 (min-max); higher scores indicates more pain
次要结局
- Anesthesia onset time(Measurements are provided per 30 seconds (30-60-90-120 seconds and more if necessary))