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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
Source of recordUK Clinical Trials Gateway
ISRCTNISRCTN59113767
Date ISRCTN assigned28/09/2007
Local reference number(s)N0077183569
Public titleA 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
AcronymN/A
Disease/condition/study domainSigns and Symptoms: Pain
Study hypothesisDoes local anaesthetic (lignocaine) reduce pain associated with dressing removal of fingertip injuries when compared to normal saline?
Design/methodologyRandomised controlled trial
Research ethics reviewNot provided at time of registration
Countries of trialUnited Kingdom
Participants - inclusion criteria1. 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 criteria1. 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
Patient information material
Anticipated start date21/08/2006
Anticipated end date31/01/2008
Status of trialCompleted
Target number of participants98
InterventionsRandomized Controlled Trial
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.
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)None
Sources of fundingDerby Hospitals NHS Foundation Trust
NHS R&D Support Funding
Sponsor nameRecord Provided by the NHSTCT Register - 2007 Update - Department of Health
Sponsor detailsThe Department of Health, Richmond House, 79 Whitehall
London
United Kingdom
SW1A 2NL
Sponsor telephone+44 (0)20 7307 2622
Sponsor fax+44
Sponsor emaildhmail@doh.gsi.org.uk
Sponsor websitehttp://www.dh.gov.uk/Home/fs/en
Contact nameMr D N Quinton
Contact detailsDerby Hospitals NHS Foundation Trust _ DRI
Derbyshire Royal Infirmary
London Road

Derby
United Kingdom
DE1 2QY
Contact telephone+44 01332 347141 ext: 2249
Contact fax+44 01332 254638
Contact emaildavid.quinton@derbyhospitals.nhs.uk
More informationFor more up-to-date information please go to the ISRCTN link below.
Link to record in ISRCTN RegisterISRCTN59113767
Date last extracted from ISRCTN register17/04/2008
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