CompletedNot Applicable

Pain Palliation in Forearm Fractures in the Emergency Department

Turkey (Türkiye)85 participantsStarted 2024-06-01

Plain-language summary

The aim is to evaluate the success of reduction procedures and pain palliation in patients with forearm fractures undergoing reduction under procedural sedation-analgesia (PSA) and ultrasound (US)-guided infraclavicular nerve block (ICB) in the emergency department.

Who can participate

Age range

18 Years

Sex

ALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * Aged 18 years and older, * Diagnosed with forearm fracture using standard radiography, * Hemodynamically stable individuals, * Without vascular or nerve injury, * Without infection in the skin or tissues where the needle will pass, * Able to provide written and verbal consent and are capable of giving consent Exclusion Criteria: * Those with allergies to drugs used for sedoanalgesia and peripheral nerve blockade, * Those who are hemodynamically unstable, * Patients with ASA (American Society of Anesthesiologists) classification 3-4 will not be included in the group for whom PSA will be applied, * Patients with coagulopathy, liver, or kidney failure, * Patients with opioid, alcohol, or substance dependency, * Those with skin infections or open wounds in the area where local anesthetic will be administered, * Pregnant or suspected pregnant individuals, * Those who do not provide written and verbal consent.

Questions worth asking your doctor

Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.

1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?

Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.

Questions for the trial coordinator

The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.

1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?

A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.

What they're measuring

Evaluation of patients' pain levels according to the Numerical Rating Scale (NRS) after the applied protocols.

Timeframe: 1. Pain level at the 1. minute upon presentation to the emergency room. 2. Pain level after the implementation of the protocols, i.e. 1 hour later. 3. Pain level 24 hours after the procedure.

Success of reduction following the applied protocols.

Timeframe: An x-ray will be taken before the reduction process, i.e. at 10 minutes. An x-ray will be taken at 1 hour after the reduction process.

Evaluation of the need for additional rescue treatments during the procedure.

Timeframe: Rescue analgesia will be administered if NRS is above 5 fifteen minutes after the protocols are applied.

Trial details

NCT IDNCT06588907

SponsorAnkara Etlik City Hospital

Sponsor typeOTHER_GOV

Study typeINTERVENTIONAL

Primary completion2024-12-01

View on ClinicalTrials.gov More Forearm Fracture trials