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Completed

NCT Number: NCT06274073

Double-dorsal Versus Single-volar Digital Block

The aim of this study is to compare the traditional dorsal double injection digital block with the palmar single injection technique in the suturing of acute traumatic hand finger lacerations in terms of injection pain score (NRS), anesthesia onset time, and success of anesthesia.

It is understood that single injection digital block and double injection digital block techniques do not have significant advantages over each other in terms of pain levels and procedure times.

However, the need for rescue anesthesia was evaluated to be lower in the single injection digital block technique. This difference is especially due to measurements in the volar region incisions.

According to the results of this study, we think that choosing the single injection digital block technique for volar region incisions is a more rational approach, especially in terms of the data of the need for rescue anesthesia.

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Key information

Conditions

Laceration of Skin Anesthesia, Local Nerve Block Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Ankara City Hospital Emergency Medicine Department

Ankara, Turkey (Türkiye)

About this study

Randomized, parallel controlled, open labeled experimental study

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Between 18-65 years of age
  • Isolated traumatic acute hand finger lacerations requiring suturing
  • Admissions within 6 hours of injury
  • Patients who can cooperate with the NRS score
  • Patients who gave consent

Exclusion criteria

  • Vein, nerve and tendon lacerations on the hand that require repair
  • Amputation or bone fracture
  • Those who have used analgesics in the last 12 hours
  • Hemodynamically unstable patients
  • Known allergy to prilocaine hydrochloride

Treatment and study plan

Dorsal digital block

Procedure

Dorsal regional digital block anesthesia (No drug or device is being investigated here; the two digital block procedure mentioned are compared)

Palmar digital block

Procedure

Palmar regional digital block anesthesia (No drug or device is being investigated here; the two digital block procedures mentioned are compared)

Primary outcomes

  1. Anesthesia pain score

    Time frame: 3rd minute

    Numerical rating scale (NRS): 0 to 10 (min-max); higher scores indicates more pain

Secondary outcomes

  1. Anesthesia onset time

    Time frame: Measurements are provided per 30 seconds (30-60-90-120 seconds and more if necessary)

    Time achieved to total anesthesia

Sponsors and collaborators

Lead sponsor

Ankara City Hospital Bilkent

Other

Registry information

Official study title

Double-dorsal Versus Single-volar Digital Subcutaneous Anaesthetic Injection for Finger Injuries in the Emergency Department: A Randomised Controlled Trial

Important dates

Study start
2022
Primary completion
2023
Study completion
2023
First posted
Feb 23, 2024
Registry last updated
Feb 23, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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