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A prospective study to assess the effectiveness of lignocaine versus normal saline in the reduction of pain associated with dressing removal in fingertip injuries
ISRCTN ISRCTN59113767
ClinicalTrials.gov identifier
Public title A prospective study to assess the effectiveness of lignocaine versus normal saline in the reduction of pain associated with dressing removal in fingertip injuries
Scientific title
Acronym N/A
Serial number at source N0077183569
Study hypothesis Does local anaesthetic (lignocaine) reduce pain associated with dressing removal of fingertip injuries when compared to normal saline?
Ethics approval Not provided at time of registration
Study design Randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Signs and Symptoms: Pain
Participants - inclusion criteria 1. Patients sustaining a nail bed injury
2. Patients who are old enough to give consent (over 16 years old)
3. Patients willing to participate
Participants - exclusion criteria 1. Patients who are unable to give consent
2. Previous injury or surgery to the presenting digit
3. Patients within any other concomitant trial involving analgesics, patient allergy to lignocaine
Anticipated start date 21/08/2006
Anticipated end date 31/01/2008
Status of trial Stopped
Patient information material
Target number of participants 98
Interventions Patients will be recruited from the Pulvertaft Hand Center upon clinic appointment. This is a stop interview /evaluation that takes place in the Hand Clinic. Certain data will be collected - age, sex, nature of injury, etc. This will be kept confidential. Patients will be asked whether they would like to be involved in the study. Those patients who agree will be asked to sign a consent form. The patients who do not wish to participate in the study will receive the normal standard of care for such injuries, ie. normal saline.

The following protocol will be set up:
- Affected finger will be immersed in 10 milliliters of local anaesthetic (lignocaine) or normal saline.
- The dressing is then removed by the sister in the clinic and the patient asked to log their level of pain. This will be achieved by a simple (linear analogue) scoring system.

The whole process will be randomised and blind to those involved in the study to avoid or prevent bias.

Added 27 August 2008: trial was stopped.
Primary outcome measure(s) The reduction in the level of pain on dressing removal of patients with fingertip wounds as shown on the linear visual analogue pain scale, 0-10, 0 being the lowest level of pain and 10 the highest level of pain.
Secondary outcome measure(s) No secondary outcome measures
Sources of funding Derby Hospitals NHS Foundation Trust (UK), NHS R&D Support Funding
Trial website
Publications
Contact name Mr  D N  Quinton
  Address Derby Hospitals NHS Foundation Trust
Derbyshire Royal Infirmary
London Road
  City/town Derby
  Zip/Postcode DE1 2QY
  Country United Kingdom
  Tel +44 01332 347141 ext: 2249
  Fax +44 01332 254638
  Email david.quinton@derbyhospitals.nhs.uk
Sponsor Record Provided by the NHSTCT Register - 2007 Update - Department of Health
  Address The Department of Health, Richmond House, 79 Whitehall
  City/town London
  Zip/Postcode SW1A 2NL
  Country United Kingdom
  Tel +44 (0)20 7307 2622
  Fax +44
  Email dhmail@doh.gsi.org.uk
  Sponsor website: http://www.dh.gov.uk/Home/fs/en
Date applied 28/09/2007
Last edited 27/08/2008
Date ISRCTN assigned 28/09/2007
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