- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05498831
Evaluation of a New Pain Management Protocol Involving Intranasal Sufentanil in the Emergency Room. (SUURGE)
Evaluation of a New Pain Management Protocol Involving Intranasal Sufentanil in the Emergency Room : a Prospective Observational Study.
Until now, the Mulhouse emergency department used a protocol for severe pain based on morphine titration. In order to relieve patients' pain more quickly, a new protocol was implemented based on the use of intranasal sufentanil.
The primary objective of the study is to prospectively assess the efficacy of the new pain management protocol implemented in the emergency department and based on intranasal sufentanil in combination with paracetamol and codeine for pain of moderate intensity and intranasal sufentanil in combination with paracetamol followed by morphine titration for severe pain. This new pain management protocol has been updated as part of the upcoming French High Authority for Health hospital certification, for which pain management is one of the priority criteria. This research does not change the routine care given to the patient.
Study Overview
Status
Conditions
Detailed Description
Secondary objectives:
- To assess the rapidity of pain relief with intranasal sufentanil compared to intravenous morphine titration
- To compare the evolution over time of the pain with the old and new pain management protocol.
- To assess the safety of sufentanil and morphine titration
Conduct of research:
When a patient is admitted to the Mulhouse emergency department with pain greater than or equal to 4 on the Numerical Scale, the triage nurse or doctor checks the eligibility criteria. If eligible, the nurse or doctor ensures that the patient does not object to the reuse of their data for this research. An information letter is also given to the patient.
Pain will be measured by numerical rating scale at initial assessment by the triage nurse (baseline), at 15mins, 30mins, 60mins and 2hours.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Contact
- Name: Guillaume Rottner, MD
- Phone Number: +33 3 89 86 83
- Email: guillaume.rottner@ghrmsa.fr
Study Locations
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-
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Mulhouse, France, 68100
- Hôpital Emile Muller (GHRMSA)
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Patient admitted to the Emergency Department of Mulhouse with a numerical pain rating scale > 3 ;
- Patient who did not receive any analgesic except paracetamol in the 4 hours prior to admission ;
- Initial pain assessment with the triage nurse ;
- Patient does not object to the collection of data for the study.
Exclusion Criteria:
- Patient admitted directly to the shock room ;
- Initial pain assessment not performed in triage zone ;
- Numerical Scale > 3 not corroborated by caregiver assessment: Algoplus <2
- Onset of pain after triage nurse visit ;
- Patient with drug intoxication, altered consciousness, alcohol or drug use.
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Pain relief protocol according to the recommendations of the French Emergency Medicine Society
The first phase consists in collecting, over a one-month period, data concerning the analgesic management of patients based on the recommendations of the 2010 French Emergency Medicine Society, before the effective implementation of the new pain management protocol, which should be implemented between 2 to 4 months later.
Adverse events and patient's satisfaction will also be collected.
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Pain will be assessed using a numerical scale
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Pain relief protocol with intranasal sufentanil as a starter
The second phase consists in collecting, over a one-month period, data concerning the analgesic management of patients after the implementation of the new protocol based on the use of intranasal sufentanil as a starter for pain of moderate and severe intensity.
Adverse events and patient's satisfaction will also be collected during the second phase.
|
Pain will be assessed using a numerical scale
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Proportion of patients with effective pain relief 30 minutes after initial assessment by nurse
Time Frame: 30 minutes
|
Pain relief will be defined as numeric pain rating scale ≤ 3
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30 minutes
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Time from initial pain assessment by nurse to administration of intranasal sufentanil compared to Intravenous morphine titration
Time Frame: 2 hours
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2 hours
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Number of adverse events
Time Frame: 2 hours
|
2 hours
|
Collaborators and Investigators
Investigators
- Principal Investigator: Guillaume Rottner, MD, Groupe Hospitalier de la Région de Mulhouse et Sud-Alsace
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- GHR 1260
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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