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Pain, Acute clinical trials

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NCT ID: NCT03893175 Completed - Pain, Acute Clinical Trials

Towards Predicting the Analgesic Response to Ibuprofen Following Third-molar Extraction

Start date: May 10, 2019
Phase: Phase 1
Study type: Interventional

This research study will evaluate inter-individual variability in the analgesic response to the non-steroidal anti-inflammatory drug (NSAID) ibuprofen after third molar extraction surgery. It will also investigate demographic, clinical, genetic, and environmental factors that cause this variability.

NCT ID: NCT03881982 Completed - Pain, Acute Clinical Trials

A Novel Electronic Method of Collecting Pain Scores in the Emergency Department

PIMPERNEL
Start date: August 3, 2017
Phase: N/A
Study type: Interventional

Can a novel electronic display of pain be successfully used in the emergency department and does it (1) change analgesic prescription and (2) change amount of pain experienced? Pain is a common symptom in emergency care. As patients are seldom reassessed, staff may not be aware of pain. Currently, members of nursing or medical staff need to ask patients about their pain and record it manually using a visual analogue scale from 0-10. The new electronic display uses buttons to represent a pain scale from 0 (no pain) to 10 (worst pain). Patients will select the number that best corresponds to their pain every 15 minutes. In the experimental group, the score will be displayed on a screen. In the control group, the score will not be displayed. The investigators will compare the overall amount of pain in both groups, and will look at their pain management (painkillers prescribed). The investigators will also ask patients and staff for their opinions on the display. The study will include adult patients in the emergency department at Leicester Royal Infirmary with an initial pain score of 5 or more who are able to make a decision about whether to participate. Participants will also need to be likely to stay in the hospital for more than 2 hours to allow the investigators to gather enough useful data. The study will recruit 200 participants. If the study can demonstrate that the monitor is acceptable to patients and staff and results in improved pain management, it is a low cost intervention which could be widely implemented within the NHS. It also has the potential for being used in other areas such as surgical wards. The investigators have previously found that 300-400 patients per week in the department have moderate to severe pain and might therefore benefit from this monitor.

NCT ID: NCT03877146 Completed - Breast Cancer Clinical Trials

Calming Alternatives Learned During MRI-Guided Breast Biopsy

CALM
Start date: October 16, 2018
Phase: N/A
Study type: Interventional

The proposed randomized study evaluates whether a controlled breathing intervention could be efficacious for reducing pain in the MRI-guided breast biopsy setting. Support for this intervention stems from experimental and clinical studies on the effects of controlled breathing on pain. Implementing a controlled breathing intervention during MRI-guided breast biopsy has the potential to provide effective pain management in this outpatient setting. The primary study objectives are to assess the feasibility, acceptability, and efficacy of a novel audio-recorded controlled breathing intervention for reducing breast and body pain in women undergoing MRI-guided breast biopsy. The secondary study objectives are to evaluate the effects of controlled breathing on measures of physiological reactivity (i.e., blood pressure and heart rate), pain catastrophizing, and self-efficacy for pain and anxiety.

NCT ID: NCT03868436 Completed - Pain, Acute Clinical Trials

PENTHROX™ in the Canadian Emergency Department (ED)

ADVANCE-ED
Start date: April 8, 2019
Phase: Phase 4
Study type: Interventional

This Canadian, multi-centre, prospective, real world study is designed to evaluate the effectiveness of low dose methoxyflurane (MEOF) (PENTHROX™) for the treatment of moderate to severe pain associated with trauma in the Canadian ED.

NCT ID: NCT03853460 Recruiting - Pain, Acute Clinical Trials

Bilateral Quadraus LUMBORUM Block in Patients Under Going Cystectomy

Start date: October 30, 2019
Phase: N/A
Study type: Interventional

ultrasound guided quadratus lumborum will be given for patients under going partial or complete urinary bladder removal.

NCT ID: NCT03852459 Completed - Pain, Acute Clinical Trials

Controlled Study to Assess the Efficacy and Safety of S-Ibuprofen Topical Gel 5% (AP0302) in the Treatment of DOMS

Start date: January 12, 2018
Phase: Phase 2
Study type: Interventional

Phase 2 study designed to evaluated analgesic efficacy and safety of S-Ibuprofen Topical Gel 5%

NCT ID: NCT03828760 Recruiting - Pain, Acute Clinical Trials

The Effectiveness of Music on Pain and Anxiety in IUD Insertion

Start date: March 12, 2019
Phase: N/A
Study type: Interventional

Although intrauterine devices (IUDs) are a highly effective contraceptive method, fear of pain during insertion is one barrier to use. A review of literature reveals little investigation of interventions for anxiety management during the procedure. Furthermore, evidence of non-pharmacological interventions for both anxiety and pain management is limited. Music has been shown to be effective at reducing anxiety and pain in a variety of contexts, however to the investigators' knowledge, its effectiveness for anxiety and pain relief during the IUD insertion procedure has not been formally examined. This study will therefore examine the effectiveness of listening to music on anxiety and pain during IUD insertion.

NCT ID: NCT03798899 Completed - Pain, Acute Clinical Trials

Efficacy and Safety of Penthrox® Combined With a Standard Analgesia (SoC) in Adult Patients Admitted to the Emergency Department With Moderate to Severe Pain Associated With Trauma

Pen ASAP
Start date: May 14, 2018
Phase: Phase 4
Study type: Interventional

A phase 4 randomised, double-blind study to assess the efficacy and safety of Penthrox® used from the outset in multimodal analgesia, in combination with the standard analgesic protocol used in the department, for conscious adult patients presenting in an emergency department with moderate to severe pain associated with a trauma

NCT ID: NCT03781570 Completed - Pain, Acute Clinical Trials

Brain and Genetic Predictors of Individual Differences in Pain and Analgesia

PAINGEN
Start date: November 7, 2018
Phase:
Study type: Observational

The purpose of the study is to gain a better understanding of pain processing in the brain. Our understanding of how pain is processed in the brain is limited. We are testing for individual differences in pain perception and emotion.

NCT ID: NCT03781440 Active, not recruiting - Opioid Use Clinical Trials

Regional Anesthesia for Cardiothoracic Enhanced Recovery

RACER
Start date: January 1, 2020
Phase: N/A
Study type: Interventional

The erector spinae plane block (ESPB) is a novel regional analgesic technique that provides pain relief with a peripheral nerve block catheter. The goal of this study is to see if bilateral ESPB catheters can improve clinical outcomes in patients undergoing cardiac surgery via sternotomy, such as decreasing the duration of postoperative mechanical ventilation, need for intravenous opioid medications, length of stay in the intensive care unit (ICU), and improving pain scores.