Trigger digit Trigger digit,
Conditions
Interventions
The patients in EMLA group will receive 3 grams of EMLA drug which contain in the unlabeled container and apply to the intact skin at intended surgical area by research assistant. Then,
EMLA is sealed with waterproof occlusive dressing (TegadermTM Film,
3M Healthcare,
Germany) to contain the drug to the skin for 90 minutes.,The patients in placebo group will receive 3 grams of placebo which is cream base without anesthetic property. The placebo has same appearance&
odor,
color and consistency with EMLA and contain in the similar appearance of unlabeled container. Placebo is applied to the intact skin at intended surgical area by research assistant. Then,
placebo is sealed with waterproof occlusive dressing (TegadermTM Film,
Germany) to contain the placebo to the skin for 90 minutes.
Experimental Procedure/Surgery,Placebo Comparator Procedure/Surgery
EMLA group,Placebo group
Sponsors
None listed
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: - Trigger digit patients Quinnell grade II-IV or Quinnell grade I with failure of conservative treatment for 3 months - Scheduled for open release surgery at Siriraj Hospital - Age > 18 years
Exclusion criteria
Exclusion criteria: - Known history of sensitivity to local anesthetics of amide type (lidocaine, mepivacaine, prilocaine, bupivacaine, ropivacaine) or cream base - Contraindication to EMLA: • Patients treated with class III anti-arrhythmic drugs (amiodarone, bretylium, sotalol, dofetilide) • Patients with congenital or idiopathic methemoglobinemia - Concomitant ipsilateral carpal tunnel syndrome or de Quervain’s disease - Recurrent disease at the same digit - Multiple digits operate at the same time (> 2 digits) - Communication problems - History of depression or anxiety disorders
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| VAS for overall pain throughout the operation day of operation Visual analog scale | — |
Secondary
| Measure | Time frame |
|---|---|
| VAS for pain during needle insertion day of operation Visual analog scale,VAS for pain during local anesthetic infiltration day of operation Visual analog scale,Thai short-form McGill pain questionnaire day of operation 15 items questionnaire about pain in 4-likert scale for each item,Patient's overall satisfaction day of operation 5-likert scale,Complications day of operation, 2 weeks follow-up Presence of complications | — |
Countries
Thailand
Contacts
Public ContactPanai Laohaprasitiporn
Department of Orthopaedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University
Outcome results
None listed