Monitoring pain levels during regional anesthesia for upper limb surgery
Is the Regional Anesthesia Technique Painful? an Evaluation Using the Nociception Index Level (NOL), a New Pain Monitoring, and Algiscore, a Multidimensional Pain Score
This study is testing how well different methods can measure pain in adults having upper limb surgery with regional anesthesia to see if they need less sedation during the procedure.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 25 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | American Hospital of Paris Academic / other |
| Locations | 1 site (Neuilly-sur-Seine) |
| Trial ID | NCT06300606 on ClinicalTrials.gov |
What this trial studies
This observational study aims to evaluate pain levels using the Nociception Level index (NOL) during locoregional anesthesia in patients undergoing orthopedic surgery of the upper limb. It includes 50 adult patients who will be monitored for pain through various parameters, including the NOL index, ALGISCORE, and a numerical scale. The study also assesses the requirement for sedatives like midazolam and propofol during the procedure. The monitoring starts with the initiation of venous infusion and continues through key surgical milestones.
Who should consider this trial
Good fit: Ideal candidates are adults scheduled for orthopedic surgery of the upper limb requiring locoregional anesthesia.
Not a fit: Patients under 18 years old, those requiring emergency surgery, or those refusing regional anesthesia may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could enhance pain management strategies during regional anesthesia, leading to improved patient comfort and outcomes.
How similar studies have performed: While the use of NOL monitoring has been explored in general anesthesia, this specific application in locoregional anesthesia is relatively novel and has limited prior research.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: scheduled upper limb orthopedic surgery under regional anesthesia Exclusion Criteria: Patient less than 18 years old emergency surgery patient refusal of regional anesthesia chronic neurocognitive disease
Where this trial is running
Neuilly-sur-Seine
- Gilles BOCCARA — Neuilly-sur-Seine, France (Recruiting)
Study contacts
- Study coordinator: Gilles BOCCARA, MD, PhD
- Email: gilles.boccara@ahparis.org
- Phone: +33 6 62 38 28 33
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.