Ultrasound Guided Regional Anesthesia for Acute Injury in Low Resource Settings

NCT02084225 | Unknown

• 1 other identifier: NB0001
• Study Type: observational
• Target: 60
• Locations: 2 countries
• Sites: 3

Brief Summary

The purpose of this study is to determine feasibility, perceived utility and sustainability of training local providers in ultrasound guided regional anesthesia for acute pain management in a limited-resource conflict setting.

Conditions

Pain Management; Acute Injuries

Keywords

low resource; conflict setting; ultrasound guided regional anesthesia; acute injuries; pain management; education; ultrasound; trauma; emergency department

Outcome Measures

Primary Outcomes (1)

• Participant perceived utility of ultrasound guided nerve block

  Participants filled out a data sheet on each block performed. The participant stated yes/no if a block was found to have positive utility

  study start - ongoing (24 months)

Secondary Outcomes (1)

• Participant course satisfaction

  at course end (5 days)

Other Outcomes (3)

• Patient pain reduction (VAS)

  up to 18 months

• Post procedure serious and non serious adverse event

  before and up to 48 hours after every block performed

• Indication for use of USRA by participant

  up to 18 months of study period

Study Arms (1)

Course participants

Physicians, nurses and orthopedic officers who staff the emergency intake and orthopedic procedure area of HEAL hospital, Goma DRC, Black Lion Hospital, Addis Ababa and Kindu General Hospital in Kindu DRC. These participants recorded their nerve block intervention over one year for pain management and assessed patient pain level after 10 cc lidocaine.

Procedure: ultrasound guided regional nerve block

Interventions

ultrasound guided regional nerve block PROCEDURE

participants were the physicians performing the procedure

Also known as: lidocaine 1% and 2%

Course participants

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Participants include medical doctors and orthopedic or trauma nurses (officers) who staff the emergency department and/or orthopedic procedure area where acute injuries are treated.

You may qualify if:

• participants were chosen by hospital administration

You may not qualify if:

• only chosen participants were included

Sponsors & Collaborators

• Salmon, Margaret, M.D.: lead
• Sonosite/Fuji Film - (in kind): collaborator
• The ultrasound for the study was given to the sites by Sonosite/Fuji but the company: collaborator
• had no other role in the study.: collaborator
• MedShare - (in kind): collaborator
• The needles and syringes and kit contents were given to the sites by MedShare but the: collaborator
• company had no role in the study.: collaborator

Study Sites (3)

Black Lion Hospital

Addis Ababa, Ethiopia

Location

HEAL Hospital

Goma, Republic of the Congo

Location

John Maurice Kikuni Salmu

Kindu, Republic of the Congo

Location

MeSH Terms

Conditions

Agnosia; Wounds and Injuries; Emergencies

Interventions

Lidocaine

Condition Hierarchy (Ancestors)

Perceptual Disorders; Neurobehavioral Manifestations; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Disease Attributes; Pathologic Processes

Intervention Hierarchy (Ancestors)

Acetanilides; Anilides; Amides; Organic Chemicals; Aniline Compounds; Amines

Study Officials

• Margaret Salmon, MD MPH

  HEAL Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Time Perspective: PROSPECTIVE
• Sponsor Type: INDIV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Global Health Emergency Medicine, University Health Network, Toronto General Hospital

Study Record Dates

• First Submitted: March 9, 2014
• First Posted: March 11, 2014
• Study Start: January 1, 2012
• Primary Completion: October 1, 2014
• Study Completion: October 1, 2014
• Last Updated: March 20, 2014

Record last verified: 2014-03

Locations

ET (1); RE (2)