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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT05821517
Other study ID # 21-AOI-11
Secondary ID
Status Recruiting
Phase Phase 4
First received
Last updated
Start date May 1, 2023
Est. completion date February 1, 2025

Study information

Verified date March 2024
Source Centre Hospitalier Universitaire de Nice
Contact HAMARD Fanny
Phone 04 92 03 85 81
Email hamard.f@chu-nice.fr
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Anterior shoulder dislocation is a pathology frequently encountered in emergency medicine. The success in reducing anterior shoulder dislocations depends on muscle relaxation, which is itself conditioned by the patient's pain and apprehension. However, there is no consensus on the optimal technique for reducing anterior shoulder dislocation or the analgesia associated with it. Analgesia with METHOXYFLURANE showed a greater reduction in post-traumatic pain compared to standard analgesic treatment and faster action of METHOXYFLURANE. A retrospective study which has compared analgesia with METHOXYFLURANE and analgesic sedation with PROPOFOL found a shoulder reduction success rate of 80% and a reduction in the average length of stay in the emergency department. Finally, the use of virtual reality in pain management is emerging in our practices by allowing pre- and per-procedure hypno-sedation-analgesia. However, the use of virtual reality headsets has not been studied in the management of anterior shoulder dislocation. The use of these two techniques could therefore limit the use of procedural sedation in the context of shoulder dislocation reduction.


Recruitment information / eligibility

Status Recruiting
Enrollment 150
Est. completion date February 1, 2025
Est. primary completion date November 1, 2024
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Pregnant and/or breastfeeding women and women of childbearing age who do not have effective contraception (hormonal, mechanical or surgical). - Patients with difficulties in understanding or using the devices studied. - Patients with a contraindication to the use of one of the studied devices. - Patients with a history of relevant shoulder surgery - Presence of other associated trauma, - Previous inclusion in the same study Exclusion Criteria: - Withdrawal of voluntary informed consent from the patient - Violation of protocol - Presence of a fracture associated with the dislocation (excluding Malgaigne's notches) - Posterior, inferior or erecta dislocation - Presence of initial vascular and nerve complications - Any indication for surgical management

Study Design


Related Conditions & MeSH terms


Intervention

Device:
Helmet virtual reality.
Use of a " virtual reality " (VR) headset of " Pico G2 " type with " HypnoVR " software and audio headset " Taotronics BH22 " during all the reduction care
Drug:
Administration of METHOXYFLURANE
Self administered inhalated methoxyflurane (maximal inhaled dose : 3 mL)
Standard of care
An anticipated analgesia protocol composed of PARACETAMOL 1g +/- OXYNORM 5 mg or 10 mg according to patients weight and pain intensity as evaluated by a simple numeric rating scale is administred prior to the reduction procedure. Inhaled equimolar mixture of oxygen and notrous oxyde (MEOPA) at a 15L/min flux is administered concomitantly to the reduction procedure.

Locations

Country Name City State
France Nice University Hospital Nice

Sponsors (1)

Lead Sponsor Collaborator
Centre Hospitalier Universitaire de Nice

Country where clinical trial is conducted

France, 

Outcome

Type Measure Description Time frame Safety issue
Primary Decrease in the rate of procedural sedation of anterior shoulder dislocation Rate of use of procedural sedation for anterior shoulder dislocation reduction in the interventional groups compared to the control group Day 1 (day of reduction of anterior shoulder dislocation)
Secondary The amount of co-antalgesics administered Posology of co-analgesic medications administered 3 months
Secondary The duration of the procedure Time lenght of the reduction procedure Day 1 (day of change of anterior shoulder dislocation)
Secondary The dosage of drugs used in procedural sedation Posology of sedative drugs administered for a procedural sedation Day 1 (day of reduction of anterior shoulder dislocation)
Secondary The average length of stay in the emergency department Average length of stay in the emergency department 3 months
Secondary Patient satisfaction Patient satisfaction at the end of care evaluated with a questionnaire EVA 3 months
Secondary The rate of reduction-related complications Complications related to the reduction 3 months
See also
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