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IRCT2016020126315N1 IRCT 2016-06-04 Mashhad University of Medical Sciences Vice chancellor for research Evaluation of the success rate of hematoma block with and without ultrasound-guide in pain control of distal radial fracture reduction in patients presenting to the emergency department Evaluation of the success rate of hematoma block with and without ultrasound-guide in pain control of distal radial fracture reduction in patients presenting to the emergency department 2015-03-20 anticipated 80 Complete https://irct.ir/trial/21833 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Diagnostic, Other design features: In this study, randomization is made with random numbers table in patients above 18 years with acute distal radius fracture. N/A Fracture of the distal radius. Intervention 1: In A group, hematoma block without ultrasound guidance, after disinfection, lidocaine 1% is injected in the center of the hematoma and around ulnar styloid with Barbutazh technique. Ten minutes after anesthesia block is proved by asking the patient and the pressure at the site of block then reduction is performed. Injection and reduction are done by research supervisor. Pain during hematoma block and reduction, is measured on the base of visual analogue scale by research fellow who is unaware about the method of choosing the site of injection. The method of evaluation is explained to the patient before and after injection. Patient satisfaction about analgesia is measured at the time of block and 30 minutes after according to the method as described method. Intervention 2: In B group, hematoma block with ultrasound guidance, at first we identify hematoma with ultrasound and after disinfection, lidocaine 1% is injected in the center of the hematoma and around ulnar styloid with Barbutazh technique. Ten minutes after anesthesia block is proved by asking the patient and the pressure at the site of block then reduction is performed. Injection and reduction are done by research supervisor. Pain during hematoma block and reduction, is measured on the base of visual analogue scale by research fellow who is unaware about the method of choosing the site of injection. The method of evaluation is explained to the patient before and after injection. Patient satisfaction about analgesia is measured at the time of block and 30 minutes after according to the method as described method.
public Dr.Assiyeh Baradaran Fard
Edalatian emergency departmet, Imam Reza Hospital, Ibn Sina street
Mashhad Iran (Islamic Republic of) +98 51 3852 5312 assibfard@gmail.com; baradaranfa921@mums.ac.ir; pishbine@mums.ac.ir Mashhad University of Medical Sciences scientific Dr. Elham Pishbin
Office of the department of emergency medicine, Edalatian emergency department, Imam Reza hospital, Ibn Sina street
Mashhad Iran (Islamic Republic of) +98 51 3852 5312 pishbine@mums.ac.ir Mashhad University of Medical Sciences Iran (Islamic Republic of) Inclusion criteria: Patients with acute fractures of the distal forearm ASA class I and II and among people over the age of 18 years Exclusion criteria: Older fractures than 12 hours; Open fractures due to technical problem; Patients with a history of drug abuse or any kind of debilitating CNS and respiratory medications 18 years 100 years Both S52.5 Fracture of lower end of radius Diagnosis Diagnosis In A group, hematoma block without ultrasound guidance, after disinfection, lidocaine 1% is injected in the center of the hematoma and around ulnar styloid with Barbutazh technique. Ten minutes after anesthesia block is proved by asking the patient and the pressure at the site of block then reduction is performed. Injection and reduction are done by research supervisor. Pain during hematoma block and reduction, is measured on the base of visual analogue scale by research fellow who is unaware about the method of choosing the site of injection. The method of evaluation is explained to the patient before and after injection. Patient satisfaction about analgesia is measured at the time of block and 30 minutes after according to the method as described method. In B group, hematoma block with ultrasound guidance, at first we identify hematoma with ultrasound and after disinfection, lidocaine 1% is injected in the center of the hematoma and around ulnar styloid with Barbutazh technique. Ten minutes after anesthesia block is proved by asking the patient and the pressure at the site of block then reduction is performed. Injection and reduction are done by research supervisor. Pain during hematoma block and reduction, is measured on the base of visual analogue scale by research fellow who is unaware about the method of choosing the site of injection. The method of evaluation is explained to the patient before and after injection. Patient satisfaction about analgesia is measured at the time of block and 30 minutes after according to the method as described method. Pain score. Timepoint: before block, 30 minutes after reduction. Method of measurement: visual analog scale. Reducton time. Timepoint: reduction time. Method of measurement: minute. Mashhad University of Medical Sciences Vice chancellor for research Approved 2015-06-10 Mashhad University of Medical Sciences Pardis of Ferdowsi University, Azadi squrare, Mashhad Mashhad Iran (Islamic Republic of)