Italian Data Registry of Patients Undergoing Peripheral Nerve Block Performed in the Emergency Departments
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 500
- 试验地点
- 1
- 主要终点
- Minimally Clinically Important Difference
研究概览
简要总结
This data registry aim is to describe the practice of Point-of-Care Ultrasound Guided Regional Anaesthesia (POCUS-GRA) in emergency departments of nosocomial hospitals where, the organizational structure, has already provided for the implementation of peripheral nerve blocks (PNB) in common clinical practice for the treatment of acute pain due to bone fractures.
详细描述
Pain in emergency departments (EDs) is often inadequately treated. The consequences of inadequate treatment of pain defined as "oligoanalgesia," can have a negative impact on patient outcomes. The main reasons for this include lack of appropriate pathways, incorrect habits and aversion to opioid use. Pain is a symptom present in 78% of patients entering emergency departments, and among the main causes is trauma. A multimodal approach to pain treatment is more effective and minimizes side effects such as nausea, vomiting, and drowsiness due to the use of some drugs such as opioids. Over the past fifteen years, numerous studies have demonstrated the effectiveness of pain treatment using Point-of-Care Ultrasound Guided Regional Anaesthesia (POCUS-GRA) even outside the operating room. This data registry aim is to describe the practice of Point-of-Care Ultrasound Guided Regional Anaesthesia (POCUS-GRA) in emergency departments of nosocomial hospitals where, the organizational structure, has already provided for the implementation of peripheral nerve blocks (PNB) in common clinical practice for the treatment of acute pain due to bone fractures.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Prospective
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
- •Age ≥18 years;
- •Patients with traumatic fractures of ≤2 districts (radiologically confirmed (RX or CT). Districts are:
- •Chest (one hemilateral) Pelvis (one hemilateral) Femur Leg Ankle Foot Shoulder Humerus Forearm Hand/fingers
- •Presence of written informed consent to the study.
排除标准
- •Intubated patients
- •Patients with known dementia
- •Patients with delirium (assessed by Confusion Assessment Method)
- •Pregnant patients
- •Patients with allergies to local anesthetics
- •Patients unable to adequately communicate pain
结局指标
主要结局
Minimally Clinically Important Difference
时间窗: One hour after the end of the procedure
The percentage of patients, relative to the total, in whom the PNB (Peripheral Nerve Block) resulted in a reduction of at least 3 points in the VAS, defined as the MCID (Minimally Clinically Important Difference).
次要结局
- Incidence of complications(7 days after the end of the procedure)
- Time of procedure(At the end of the procedure)
- Patient satisfaction(one hour after the end of the procedure)
- Operator satisfaction(After the end of the procedure)
- Pain before the PNB procedure(Before the PNB procedure)
