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Comparison of Bacteriostatic Saline to Buffered Lidocaine for Ultrasound Guided Hip Joint Injection Local Anesthesia

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Mayo Clinic

Status and phase

Completed
Phase 4

Conditions

Hip Pain

Treatments

Drug: buffered lidocaine
Drug: bacteriostatic saline

Study type

Interventional

Funder types

Other

Identifiers

NCT02209272
14-002622

Details and patient eligibility

About

The purpose of this study is to compare infiltration pain and anesthetic efficacy between lidocaine and Bacteriostatic saline (BS) for ultrasound (US) guided intraarticular hip injections.

Full description

Local anesthesia is commonly used to reduce pain during joint injections, particularly for deep joints like the hip. Lidocaine is the most commonly used local anesthetic in most medical practices. It is well known that lidocaine infiltration itself is painful. Many strategies have been studied to minimize pain associated with lidocaine administration, including buffering, warming, and slowing infiltration rate. BS is an alternative local anesthetic that has been shown to be less painful when injected into subcutaneous tissues compared with lidocaine. However, BS use has not been widely implemented for local anesthesia, and it has not been studied in the context of joint injections.

Enrollment

68 patients

Sex

All

Ages

18 to 75 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

  • age 18-75 years
  • referred for US-guided intraarticular hip injections in the Mayo Clinic Sports Medicine Center, Physical Medicine & Rehabilitation Clinic, or Musculoskeletal Clinic

Exclusion criteria

  • chronic opioid use
  • opioid use on day of procedure
  • history of fibromyalgia or other diffuse chronic pain syndrome
  • pain behavior during the clinical encounter as judged by the injectionist
  • anesthetic administration time outside the designated 5-15 second time frame

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Quadruple Blind

68 participants in 2 patient groups

bacteriostatic saline
Experimental group
Description:
for ultrasound guided hip joint injection local anesthesia
Treatment:
Drug: bacteriostatic saline
buffered lidocaine
Active Comparator group
Description:
for ultrasound guided hip joint injection local anesthesia
Treatment:
Drug: buffered lidocaine

Trial documents
1

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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