Reducing Pain in Emergency Department by Using Veinous Blood Gas Instead of Arterious Blood Gas
NCT ID: NCT03784664
Last Updated: 2019-06-19
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
100 participants
INTERVENTIONAL
2019-01-20
2019-03-22
Brief Summary
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Due to the lack of evidence of benefit for the patient or the health care team of a venous blood gas rather than an arterial blood gas in the absence of suspicion of hypoxemia, arterial blood gas is currently the standard of care for the analysis of acid-base disorders. Indeed, among the university hospitals affiliated to the Paris Diderot University, the emergency departments carry out in their vast majority (4 of 5 E.D.) arterial blood gases. Demonstration of the superiority of veinous sample over arterial sample regarding pain could substantially modify current practices.
The investigator's main hypothesis is that, in the absence of suspicion of hypoxemia (normal oxygen saturation measured by plethysmography), the realization of a venous blood gas for the evaluation of the acid-base balance in the context of emergencies is less painful for patients, simpler for the health care team and provides sufficient biochemical information for the doctor in comparison with an arterial blood gas.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
HEALTH_SERVICES_RESEARCH
NONE
Study Groups
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Arterial blood gas
Arterial blood gas
arterial blood sample with puncture of the radial artery
Veinous blood gas
Veinous blood gas
veinous blood sample using peripheral venepuncture
Interventions
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Arterial blood gas
arterial blood sample with puncture of the radial artery
Veinous blood gas
veinous blood sample using peripheral venepuncture
Eligibility Criteria
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Inclusion Criteria
* age \> 18 yo
* SpO2\>95% without supplemental oxygen
* no altered level of consciousness: Glasgow Coma Scale=15
Exclusion Criteria
* confusional state or patient unable to understand the protocol
* no social security
18 Years
ALL
No
Sponsors
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Assistance Publique - Hôpitaux de Paris
OTHER
Responsible Party
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Principal Investigators
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Damien Roux, MD,PhD
Role: STUDY_CHAIR
Intensive care department, Louis Mourier hospital
Locations
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Hôpital Beaujon
Clichy, , France
Hôpital Louis Mourier
Colombes, , France
Hôpital Lariboisière
Paris, , France
Hôpital Bichat
Paris, , France
Countries
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References
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Chauvin A, Javaud N, Ghazali A, Curac S, Altar A, Ali T, Beguin N, Bellier J, Coupier A, Delsarte L, Dreyfuss D, Kheirbek N, Oudar C, Stordeur Y, Weiss M, Gaudry S, Lambert J, Roux D. Reducing pain by using venous blood gas instead of arterial blood gas (VEINART): a multicentre randomised controlled trial. Emerg Med J. 2020 Dec;37(12):756-761. doi: 10.1136/emermed-2019-209287. Epub 2020 Aug 5.
Other Identifiers
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Assistance Publique - Hôpitaux
Identifier Type: -
Identifier Source: org_study_id
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