Evaluation of Three Non-invasive Analgesic Techniques in Pain Prevention During Injections

NCT ID: NCT03974633

Last Updated: 2019-08-22

Study Results

Results pending

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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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-02-24

Study Completion Date

2019-05-01

Brief Summary

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Injections are associated to a certain level of pain which tolerance can vary between individuals. As regards non-invasive pain control techniques in subcutaneous injections, scarce literature exists with adequate levels of evidence and design quality to support any specific analgesic method.

In this study, the investigators evaluated the effectivity of three non-invasive analgesic techniques (cold, anesthetic cream and vibration) when performing subcutaneous forehead injections, in a series of 100 healthy volunteers.

Detailed Description

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This study is a randomized, controlled, simple-blind clinical trial, and it has been approved by the Ethics Committee of the Medical Research Institute Hospital La Fe. The study included 100 healthy volunteered, and it was performed in the University and Polytechnic Hospital La Fe, Valencia.

The procedures of the study consisted in the sequential performance of four injections of 0,1mL of physiologic saline (0,9%NaCl) in the forehead of each subject, 2cm above the eyebrows, with a 29G needle, after applying any of the non-invasive anesthetic methods studied in the trial, except for the control zone. The anesthetic method utilized in each part of the forehead of each patient was randomized through simple randomization. Injections always started from the right side of the forehead to the left. The non-invasive analgesic methods utilized were:

* Control zone: None
* Vibration: Application of the vibrating device on the skin below the injection site, before and during injection.
* Cold: Application of a bag of 50mL of frozen physiologic saline covered with a plastic glove on the injection site for 50 seconds prior to performing the injection.
* Anesthetic cream: Application of a uniform thickness of 2mm of the anesthetic cream EMLA covered with an adhesive transparent plastic dressing for 30 minutes, before injection.

Conditions

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Injection Pain Prevention

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

All subjects received four injections of 0,1mL of physiologic saline (0,9%NaCl) in the forehead, 2cm above the eyebrows, with a 29G needle, after applying each one of the 4 non-invasive anesthetic methods studied in the trial, except for the control zone. The anesthetic method utilized in each part of the forehead of each patient was randomized through simple randomization.
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Outcome Assessors
Outcomes were studied by an investigator that did not participate in the practical part of the trial.

Study Groups

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Control

A subcutaneous injection of 0,1mL saline (0,9%NaCl) was administered in a part of the forehead, without administering any type of non-invasive analgesic

Group Type PLACEBO_COMPARATOR

Injection

Intervention Type COMBINATION_PRODUCT

All information is included in the Arm/group descriptions

Vibration

A subcutaneous injection of 0,1mL saline (0,9%NaCl) was administered in a part of the forehead, while applicating a vibrating device on the skin below the injection site, before and during injection.

Group Type EXPERIMENTAL

Injection

Intervention Type COMBINATION_PRODUCT

All information is included in the Arm/group descriptions

Cold

A subcutaneous injection of 0,1mL saline (0,9%NaCl) was administered in a part of the forehead, after applicating a bag of 50mL of frozen physiologic saline covered with a plastic glove on the injection site for 50 seconds

Group Type EXPERIMENTAL

Injection

Intervention Type COMBINATION_PRODUCT

All information is included in the Arm/group descriptions

Anesthetic cream

subcutaneous injection of 0,1mL saline (0,9%NaCl) was administered in a part of the forehead, after applicating a uniform thickness of 2mm of the anesthetic cream EMLA covered with an adhesive transparent plastic dressing for 30 minutes

Group Type EXPERIMENTAL

Injection

Intervention Type COMBINATION_PRODUCT

All information is included in the Arm/group descriptions

Interventions

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Injection

All information is included in the Arm/group descriptions

Intervention Type COMBINATION_PRODUCT

Eligibility Criteria

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Exclusion Criteria

* Subjects younger than 18
* Subjects that suffered from any local or systemic sensitivity alteration
* Subjects that suffered from any cognitive deficit
* Individuals allergic to any of the components of the anesthetic ointment EMLA (eutectic mixture of lidocaine 2,5% and prilocaine 2,5%).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Enrique Salmeron

OTHER

Sponsor Role lead

Responsible Party

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Enrique Salmeron

Principal Investigator

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Enrique Salmeron-Gonzalez, MD

Role: PRINCIPAL_INVESTIGATOR

University and Polytechnic Hospital La Fe

Locations

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University and Polytechnic Hospital La Fe

Valencia, , Spain

Site Status

Countries

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Spain

References

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Babamiri K, Nassab R. The evidence for reducing the pain of administration of local anesthesia and cosmetic injectables. J Cosmet Dermatol. 2010 Sep;9(3):242-5. doi: 10.1111/j.1473-2165.2010.00503.x.

Reference Type BACKGROUND
PMID: 20883298 (View on PubMed)

Davoudi A, Rismanchian M, Akhavan A, Nosouhian S, Bajoghli F, Haghighat A, Arbabzadeh F, Samimi P, Fiez A, Shadmehr E, Tabari K, Jahadi S. A brief review on the efficacy of different possible and nonpharmacological techniques in eliminating discomfort of local anesthesia injection during dental procedures. Anesth Essays Res. 2016 Jan-Apr;10(1):13-6. doi: 10.4103/0259-1162.167846.

Reference Type BACKGROUND
PMID: 26957683 (View on PubMed)

Strazar AR, Leynes PG, Lalonde DH. Minimizing the pain of local anesthesia injection. Plast Reconstr Surg. 2013 Sep;132(3):675-684. doi: 10.1097/PRS.0b013e31829ad1e2.

Reference Type BACKGROUND
PMID: 23985640 (View on PubMed)

Taddio A, Lord A, Hogan ME, Kikuta A, Yiu A, Darra E, Bruinse B, Keogh T, Stephens D. A randomized controlled trial of analgesia during vaccination in adults. Vaccine. 2010 Jul 19;28(32):5365-9. doi: 10.1016/j.vaccine.2010.05.015. Epub 2010 May 16.

Reference Type BACKGROUND
PMID: 20483194 (View on PubMed)

Ernst E, Fialka V. Ice freezes pain? A review of the clinical effectiveness of analgesic cold therapy. J Pain Symptom Manage. 1994 Jan;9(1):56-9. doi: 10.1016/0885-3924(94)90150-3.

Reference Type BACKGROUND
PMID: 8169463 (View on PubMed)

Elibol O, Ozkan B, Hekimhan PK, Caglar Y. Efficacy of skin cooling and EMLA cream application for pain relief of periocular botulinum toxin injection. Ophthalmic Plast Reconstr Surg. 2007 Mar-Apr;23(2):130-3. doi: 10.1097/IOP.0b013e318030459c.

Reference Type BACKGROUND
PMID: 17413628 (View on PubMed)

Simons FE, Gillespie CA, Simons KJ. Local anaesthetic creams and intradermal skin tests. Lancet. 1992 May 30;339(8805):1351-2. doi: 10.1016/0140-6736(92)91994-j. No abstract available.

Reference Type BACKGROUND
PMID: 1350007 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Study Documents

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Document Type: Individual Participant Data Set

View Document

Other Identifiers

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2018/0547

Identifier Type: -

Identifier Source: org_study_id

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