The Rule of Bupivacaine Hydrochloride in Skin Graft Donor Site

NCT ID: NCT06766474

Last Updated: 2025-01-13

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

PHASE2

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-03-01

Study Completion Date

2024-10-30

Brief Summary

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Split Thickness Skin Graft is frequently utilized for reconstructing skin loss of various causes. Unfortunately, the donor site of the STSG has an unavoidable, annoying post-operative pain

Detailed Description

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The primary objective of this study was to compare the efficacy of bupivacaine hydrochloride-soaked dressing versus bupivacaine HCL subcutaneous infiltration for postoperative donor site pain control for patients undergoing STSG procedures. The patients were divided in 3 equal groups, investigated soaked dressing vs subcutaneous infiltration vs conventional dressing .

Conditions

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Skin Graft Complications Pain Management

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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Group I (soaked dressing group)

the donor site dressing was kept soaked in an aqueous solution of bupivacaine HCL in a concentration of 0.25%.

Group Type EXPERIMENTAL

Bupivacain

Intervention Type DRUG

to our knowledge, this study is the 1st to compare the efficacy of bupivacaine hydrochloride-soaked dressing versus subcutaneous infiltration for postoperative donor site pain control for patients undergoing STSG procedures.

Group II (subcutaneous infiltration group)

Subcutaneous infiltration of the study medication.

Group Type EXPERIMENTAL

Bupivacain

Intervention Type DRUG

to our knowledge, this study is the 1st to compare the efficacy of bupivacaine hydrochloride-soaked dressing versus subcutaneous infiltration for postoperative donor site pain control for patients undergoing STSG procedures.

Group III (control group)

the conventional dressing was applied without any adjectives

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Bupivacain

to our knowledge, this study is the 1st to compare the efficacy of bupivacaine hydrochloride-soaked dressing versus subcutaneous infiltration for postoperative donor site pain control for patients undergoing STSG procedures.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* American Society of Anesthesiologists Physical Status classification I-II
* scheduled for STSG harvested from a single thigh donor site to reconstruct skin loss post burn or trauma

Exclusion Criteria

* uncooperative
* refusing patient,
* under immunosuppressive treatment
* diabetics
* lower-limb neuropathy
* under corticosteroids treatment
* allergy to the study drug,
* STSG procedures performed under spinal anesthesia
* pregnancy
* had a history of opioid abuse
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Minia University

OTHER

Sponsor Role lead

Responsible Party

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MOHAMED SABRY

lecturer of plastic and reconstructive surgery, Minia University

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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MOHAMED SABRY, MD

Role: PRINCIPAL_INVESTIGATOR

Lecturer of plastic and reconstructive surgery

Shadwa Rabea, MD

Role: PRINCIPAL_INVESTIGATOR

Assistant professor of anesthesia and Intensive Care

Mohab Elsayed, Phd

Role: PRINCIPAL_INVESTIGATOR

Assistant lecturer of plastic and reconstructive surgery

Locations

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Minia University Hospital

Minya, Minya Governorate, Egypt

Site Status

Countries

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Egypt

References

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Shahzad F. Management of skin graft donor site in pediatric patients with tumescent technique and AQUACEL(R) Ag foam dressing. J Plast Surg Hand Surg. 2021 Oct;55(5):309-314. doi: 10.1080/2000656X.2021.1883632. Epub 2021 Feb 16.

Reference Type BACKGROUND
PMID: 33591240 (View on PubMed)

Liu SS, Richman JM, Thirlby RC, Wu CL. Efficacy of continuous wound catheters delivering local anesthetic for postoperative analgesia: a quantitative and qualitative systematic review of randomized controlled trials. J Am Coll Surg. 2006 Dec;203(6):914-32. doi: 10.1016/j.jamcollsurg.2006.08.007. Epub 2006 Oct 25. No abstract available.

Reference Type BACKGROUND
PMID: 17116561 (View on PubMed)

Sinha S, Schreiner AJ, Biernaskie J, Nickerson D, Gabriel VA. Treating pain on skin graft donor sites: Review and clinical recommendations. J Trauma Acute Care Surg. 2017 Nov;83(5):954-964. doi: 10.1097/TA.0000000000001615.

Reference Type BACKGROUND
PMID: 28598907 (View on PubMed)

Bittner EA, Shank E, Woodson L, Martyn JA. Acute and perioperative care of the burn-injured patient. Anesthesiology. 2015 Feb;122(2):448-64. doi: 10.1097/ALN.0000000000000559.

Reference Type BACKGROUND
PMID: 25485468 (View on PubMed)

Akan M, Yildirim S, Misirlioglu A, Ulusoy G, Akoz T, Avci G. An alternative method to minimize pain in the split-thickness skin graft donor site. Plast Reconstr Surg. 2003 Jun;111(7):2243-9. doi: 10.1097/01.PRS.0000060087.93322.2F.

Reference Type BACKGROUND
PMID: 12794466 (View on PubMed)

Other Identifiers

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bupivacaine analgesia

Identifier Type: -

Identifier Source: org_study_id

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