Acute Injuries, Pain Management
Conditions
Keywords
low resource, conflict setting, ultrasound guided regional anesthesia, acute injuries, pain management, education, ultrasound, trauma, emergency department
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.
Detailed description
To the investigators knowledge, this is the first study of feasibility, perceived utility and sustainability of USRA as a pain management tool in a low-resource conflict setting and is one of the only large studies to date to assess USRA by local providers for emergent pain relief due to injury in patients presenting to an acute care center.
Interventions
PROCEDUREultrasound guided regional nerve block
participants were the physicians performing the procedure
Sponsors
Sonosite/Fuji Film - (in kind)
The ultrasound for the study was given to the sites by Sonosite/Fuji but the company
had no other role in the study.
MedShare - (in kind)
The needles and syringes and kit contents were given to the sites by MedShare but the
company had no role in the study.
Salmon, Margaret, M.D.
Study design
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* participants were chosen by hospital administration
Exclusion criteria
* only chosen participants were included
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Participant perceived utility of ultrasound guided nerve block | study start - ongoing (24 months) | Participants filled out a data sheet on each block performed. The participant stated yes/no if a block was found to have positive utility |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Participant course satisfaction | at course end (5 days) | Post course evaluation of course satisfaction and balance of didactic simulation and clinical scanning |
Other
| Measure | Time frame | Description |
|---|---|---|
| Patient pain reduction (VAS) | up to 18 months | Pain reduction was calculated using 1 - 10 of a VAS. The patients was asked to rate pain before and 20 minutes after the procedure |
| Post procedure serious and non serious adverse event | before and up to 48 hours after every block performed | Patients were followed up to 48 hours post procedure in order to monitor for adverse events including residual nerve sensory deficit and/or infection at the injection site |
| Indication for use of USRA by participant | up to 18 months of study period | Participants recorded patient indication for offering USRA when presenting with acute injury including burns gun shot wounds lacerations, bone injuries soft tissue injuries and painful dressing changes |
Countries
Ethiopia, Republic of the Congo
Outcome results
None listed