Postoperative Pain Clinical Trial
— BNINFOfficial title:
Post Operative Analgesia After Wrist Fracture Surgery Under Regional Anesthesia: Randomized Trial, Open Study, With Evaluation of the Endpoint and Patient Blind (PROBE Design), Evaluating the Equivalence Between Ultrasound-guided Nerve Bloc and Local Infiltration
Verified date | October 2016 |
Source | Assistance Publique - Hôpitaux de Paris |
Contact | n/a |
Is FDA regulated | No |
Health authority | France: Ministry of Health |
Study type | Interventional |
Distal radial fracture reparations by volar plating are often managed under regional
anaesthesia, but are associated with severe pain when the block ends. Acute post-operative
pain may delay rehabilitation, and even be a risk factor for the development of chronic
pain. The use of opioids and the inevitable opioid-related side effects further decrease
patient satisfaction. A multimodal approach to pain management should include local or
regional analgesia technique when possible. In the case of wrist fractures, two methods are
available: peripheral nerve block by the anaesthesiologist or surgical site local
infiltration by the surgeon with a long-acting local aesthetic. Both techniques are commonly
used for the management of postoperative pain after diverse orthopaedic surgeries.
The purpose of this study was to determine the equivalence between ultrasound-guided
peripheral nerve block and local infiltration by the surgeon for short-term postoperative
analgesia after surgical reparation of isolated closed wrist fractures by volar plating
under regional anaesthesia. The quality of postoperative pain, patient satisfaction and
adverse events were recorded for the first 48 hours following surgery.
Status | Completed |
Enrollment | 72 |
Est. completion date | August 2016 |
Est. primary completion date | August 2016 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years to 80 Years |
Eligibility |
Inclusion Criteria: - Isolated closed wrist fracture requiring surgical treatment, - ASA (American Society of Anesthesiologists) score I to III, - Sufficient level of understanding and expression in french, - Recipient of a social security regimen (excluding State Medical Aid) Exclusion Criteria: - Psychological or neurological disorder preventing a correct understanding of the study - Insufficient knowledge of french - Chronic pain - Major analgesic ou psychotropic drug - Drug addiction - Corticosteroid therapy - Diabetic neuropathy - Opioid intolerance (confusion, dizziness, severe constipation, nausea and vomiting, urinary retention) - Renal or hepatic failure - Pregnancy or breastfeeding - Unstable hypertension - Unstable coronary syndrome - Contraindication to NSAIDs (peptic ulcer, severe renal failure) - Known hypersensitivity to ropivacaine or other amid-type local anesthetics - Open fracture |
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
France | Saint Antoine Hospital | Paris |
Lead Sponsor | Collaborator |
---|---|
Assistance Publique - Hôpitaux de Paris | Fondation de France |
France,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Mean time interval between the analgesic intervention and the onset of a pain score greater than 3/10 on a Numeric Rating Scale for pain, during the first post operative 48 hours | 48 hours | No |
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