Status:

COMPLETED

Comparison of Low-cost Interventions for Pain Reduction During Radial Artery Puncture in the Emergency Department: A Three-arm Randomized Controlled Trial

Lead Sponsor:

Queen Savang Vadhana Memorial Hospital, Thailand

Conditions:

Pain Control

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

The objective of this clinical trial is to investigate if local anesthesia using topical analgesic drug (10% lidocaine spray) or cryo-analgesic (Ice pack) can reduce pain levels during and after arter...

Detailed Description

This single center randomized controlled trial was conducted at the Emergency Department of Queen Savang Vadhana Memorial Hospital, Thailand. Total of 126 Participants will be sequentially assigned t...

Eligibility Criteria

Inclusion

  • Patients aged 18 years or older, who present to the emergency department of Queen Savang Vadhana Memorial Hospital that requires arterial blood sampling procedure for diagnostic purposes

Exclusion

  • Altered level of consciousness (Glasgow Coma Scale \< 15)
  • Cognitive impairment or communication barriers precluding accurate pain assessment (e.g., severe dementia, aphasia, intoxication, delirium)
  • Contraindications to radial artery cannulation (e.g., severe peripheral vascular disease, history of arteriovenous fistula at the puncture site, active infection at the puncture site)
  • Pregnancy
  • Need for emergency management which any delay could worsen patient care (e.g., cardiac arrest, respiratory failure requiring immediate intubation)
  • Known allergy or hypersensitivity to lidocaine or amide-type local anesthetics
  • Severe pain from other sources that could distracting pain assessment related to the arterial blood sampling procedure (e.g., significant trauma, bone fractures, severe burns)
  • Failure to obtain successful arterial access after two attempts by an experienced operator.

Key Trial Info

Start Date :

July 1 2024

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

September 30 2024

Estimated Enrollment :

126 Patients enrolled

Trial Details

Trial ID

NCT06505889

Start Date

July 1 2024

End Date

September 30 2024

Last Update

May 11 2025

Active Locations (1)

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1

Queen Savang Vadhana Memorial Hospital

Chon Buri, Thailand, 20110