Emergencies, Injuries, Pain
Conditions
Keywords
injuries, pain, Block, Nerve, morphine, Prehospital Emergency Care
Brief summary
The purpose of the study is to determine the efficacity of a simple blind technic of loco regional anaesthesia of the sciatic nerve compared to the gold standard in emergency medecine : the intravenous morphine for treated the severe pain of leg, ankle or foot trauma in the prehospital setting and mountain rescue.
Detailed description
Severe pain due to leg, ankle or foot trauma do not beneficiated of a simple loco regional anaesthesia technic. Loco regional anesthesia is superior to intravenous morphine for treating severe pain and specially during transportation and mobilization of the patient. The purpose of the study is to assessed a new technic of blind sciatic nerve block in the popliteal fossa in the pre hospital setting compared to the intravenous morphine. The blind technic is a modified technic of the classic sciatic nerve block with nerve stimulation.
Interventions
mepivacaine 1% 20 ml corresponding to 200 mg
Morphine alone with a placebo nerve block
Sponsors
Study design
Eligibility
Inclusion criteria
* Severe pain (VAS \> or = 60mm); injuries of the leg, ankle or foot
Exclusion criteria
* Hypersensitivity to student agents * Local infection * Nerve or vascular pathology in the affected limb, coagulation pathology, * Chronic use of opoids, use of opoids within 6 hours * Drug addiction * Pregnancy * Systolic blood pressure less than 90 mmHg * Respiratory rate less than 16 per minute * Glasgow coma scale \< 14.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Visual analog scale pain score | 30 minutes |
Secondary
| Measure | Time frame |
|---|---|
| Total dose of morphine | 60 minutes |
Countries
France