Anesthesia, Local, Laceration of Skin, Nerve Block, Pain
Conditions
Keywords
Digital nerve block, Finger lacerations, Single palmar injection, Double dorsal injection, Pain
Brief summary
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.
Detailed description
Randomized, parallel controlled, open labeled experimental study
Interventions
PROCEDUREDorsal digital block
Dorsal regional digital block anesthesia (No drug or device is being investigated here; the two digital block procedure mentioned are compared)
PROCEDUREPalmar digital block
Palmar regional digital block anesthesia (No drug or device is being investigated here; the two digital block procedures mentioned are compared)
Sponsors
Ankara City Hospital Bilkent
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Intervention model description
Two parallel groups (two digital block techniques)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Anesthesia pain score | 3rd minute | Numerical rating scale (NRS): 0 to 10 (min-max); higher scores indicates more pain |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Anesthesia onset time | Measurements are provided per 30 seconds (30-60-90-120 seconds and more if necessary) | Time achieved to total anesthesia |
Countries
Turkey (Türkiye)
Outcome results
None listed