Double-dorsal Versus Single-volar Digital Block

Pain Clinical Trial

Official title:

Double-dorsal Versus Single-volar Digital Subcutaneous Anaesthetic Injection for Finger Injuries in the Emergency Department: A Randomised Controlled Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT06274073
• Other study ID #: E2-22-2566
• Status: Completed
• Phase: N/A
• Start date: October 12, 2022
• Est. completion date: September 12, 2023

Study information

• Verified date: February 2024
• Source: Ankara City Hospital Bilkent
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

Description:

Randomized, parallel controlled, open labeled experimental study

Recruitment information / eligibility

• Status: Completed
• Enrollment: 160
• Est. completion date: September 12, 2023
• Est. primary completion date: July 12, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

• 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

Exclusion Criteria:

• 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

Related Conditions & MeSH terms

• Anesthesia, Local
• Laceration of Skin
• Lacerations
• Nerve Block
• Pain

Intervention

Procedure:
• Dorsal digital block
Dorsal regional digital block anesthesia (No drug or device is being investigated here; the two digital block procedure mentioned are compared)
• Palmar digital block
Palmar regional digital block anesthesia (No drug or device is being investigated here; the two digital block procedures mentioned are compared)

Locations

Country	Name	City	State
Turkey	Ankara City Hospital Emergency Medicine Department	Ankara

Sponsors (1)

Lead Sponsor	Collaborator
Ankara City Hospital Bilkent

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Anesthesia pain score	Numerical rating scale (NRS): 0 to 10 (min-max); higher scores indicates more pain	3rd minute
Secondary	Anesthesia onset time	Time achieved to total anesthesia	Measurements are provided per 30 seconds (30-60-90-120 seconds and more if necessary)