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Italian Data Registry of Patients Undergoing Peripheral Nerve Block Performed in the Emergency Departments

NCT ID: NCT06707558

Last Updated: 2024-11-29

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

NOT_YET_RECRUITING

Total Enrollment

500 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-12-10

Study Completion Date

2025-12-31

Brief Summary

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This data registry aim is to describe the practice of Point-of-Care Ultrasound Guided Regional Anaesthesia (POCUS-GRA) in emergency departments of nosocomial hospitals where, the organizational structure, has already provided for the implementation of peripheral nerve blocks (PNB) in common clinical practice for the treatment of acute pain due to bone fractures.

Detailed Description

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Pain in emergency departments (EDs) is often inadequately treated. The consequences of inadequate treatment of pain defined as "oligoanalgesia," can have a negative impact on patient outcomes. The main reasons for this include lack of appropriate pathways, incorrect habits and aversion to opioid use. Pain is a symptom present in 78% of patients entering emergency departments, and among the main causes is trauma. A multimodal approach to pain treatment is more effective and minimizes side effects such as nausea, vomiting, and drowsiness due to the use of some drugs such as opioids. Over the past fifteen years, numerous studies have demonstrated the effectiveness of pain treatment using Point-of-Care Ultrasound Guided Regional Anaesthesia (POCUS-GRA) even outside the operating room. This data registry aim is to describe the practice of Point-of-Care Ultrasound Guided Regional Anaesthesia (POCUS-GRA) in emergency departments of nosocomial hospitals where, the organizational structure, has already provided for the implementation of peripheral nerve blocks (PNB) in common clinical practice for the treatment of acute pain due to bone fractures.

Conditions

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Emergency Point of Care Ultrasound (POCUS) Anesthesia Acute Pain Trauma

Study Design

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Observational Model Type

OTHER

Study Time Perspective

PROSPECTIVE

Study Groups

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Patients from emergency department undergoing peripheral nerve blockade (PNB)

Patients admitted to the emergency department with ≤2 trauma fractures who undergo peripheral nerve blockade (PNB) will be enrolled

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Age ≥18 years;
* NRS\>3
* Patients with traumatic fractures of ≤2 districts (radiologically confirmed (RX or CT). Districts are:

Chest (one hemilateral) Pelvis (one hemilateral) Femur Leg Ankle Foot Shoulder Humerus Forearm Hand/fingers

\- Presence of written informed consent to the study.

Exclusion Criteria

* Intubated patients
* Patients with known dementia
* Patients with delirium (assessed by Confusion Assessment Method)
* Pregnant patients
* Patients with allergies to local anesthetics
* Patients unable to adequately communicate pain
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo di Alessandria

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Clinical Trial Center

Alessandria, , Italy

Site Status

Countries

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Italy

Central Contacts

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Mirco Leo, Anesthesiologist

Role: CONTACT

[email protected]
0131208119

Facility Contacts

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Clinical Trial Center

Role: primary

[email protected]
0131206893

Mirco Leo, Anesthesiologist

Role: backup

Other Identifiers

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ASO.AnRi.24.03

Identifier Type: -

Identifier Source: org_study_id