Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| Sonosite/Fuji Film - (in kind) | UNKNOWN |
| The ultrasound for the study was given to the sites by Sonosite/Fuji but the company | UNKNOWN |
| had no other role in the study. | UNKNOWN |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
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.
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.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Course participants | Physicians, nurses and orthopedic officers who staff the emergency intake and orthopedic procedure area of HEAL hospital, Goma DRC, Black Lion Hospital, Addis Ababa and Kindu General Hospital in Kindu DRC. These participants recorded their nerve block intervention over one year for pain management and assessed patient pain level after 10 cc lidocaine. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ultrasound guided regional nerve block | Procedure | participants were the physicians performing the procedure |
|
| Measure | Description | Time Frame |
|---|---|---|
| Participant perceived utility of ultrasound guided nerve block | Participants filled out a data sheet on each block performed. The participant stated yes/no if a block was found to have positive utility | study start - ongoing (24 months) |
| Measure | Description | Time Frame |
|---|---|---|
| Participant course satisfaction | Post course evaluation of course satisfaction and balance of didactic simulation and clinical scanning | at course end (5 days) |
| Measure | Description | Time Frame |
|---|---|---|
| Patient pain reduction (VAS) | Pain reduction was calculated using 1 - 10 of a VAS. The patients was asked to rate pain before and 20 minutes after the procedure | up to 18 months |
| Post procedure serious and non serious adverse event |
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Participants include medical doctors and orthopedic or trauma nurses (officers) who staff the emergency department and/or orthopedic procedure area where acute injuries are treated.
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Margaret Salmon, MD MPH | HEAL Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Black Lion Hospital | Addis Ababa | Ethiopia | ||||
| HEAL Hospital |
Not provided
| ID | Term |
|---|---|
| D000377 | Agnosia |
| D014947 | Wounds and Injuries |
| D004630 | Emergencies |
| ID | Term |
|---|---|
| D010468 | Perceptual Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| D008012 | Lidocaine |
| ID | Term |
|---|---|
| D000083 | Acetanilides |
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 |
Not provided
Not provided
| MedShare - (in kind) |
| UNKNOWN |
| The needles and syringes and kit contents were given to the sites by MedShare but the | UNKNOWN |
| company had no role in the study. | UNKNOWN |
Not provided
Not provided
Not provided
Not provided
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
| before and up to 48 hours after every block performed |
| Indication for use of USRA by participant | 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 | up to 18 months of study period |
| Goma |
| Republic of the Congo |
| John Maurice Kikuni Salmu | Kindu | Republic of the Congo |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| Aniline Compounds |
| D000588 | Amines |