Italian Data Registry of Patients Undergoing Peripheral Nerve Block Performed in the Emergency Departments
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- This is an observational study: the protocol does not assign a study treatment.
- Who it may be relevant to
- Registry conditions: Emergency, Point of Care Ultrasound (POCUS), Anesthesia, Acute Pain. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Italy
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
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
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.
Primary outcome measures
- Minimally Clinically Important Difference [Time frame: One hour after the end of the procedure]
Secondary outcome measures (5)
- Incidence of complications [Time frame: 7 days after the end of the procedure]
- Time of procedure [Time frame: At the end of the procedure]
- Patient satisfaction [Time frame: one hour after the end of the procedure]
- Operator satisfaction [Time frame: After the end of the procedure]
- Pain before the PNB procedure [Time frame: Before the PNB procedure]
Eligibility criteria
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
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Other
Study locations
Italy · 1 center
- Clinical Trial Center — Alessandria
Identifiers
NCT: NCT06707558 · ASO.AnRi.24.03