Timecost of Intranasal Versus Intravenous Analgesia in Traumatic Pain

Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)

Status: Completed

Conditions: Acute Pain Due to Trauma; Analgesia

Treatments: Other: Intranasal administration; Other: Intravenous administration

Study type: Interventional

Funder types: Other

Identifiers

NCT06351137

INIV2023

Details and patient eligibility

About

Prehospital treatment of acute traumatic pain is common in military practice. Analgesics are usually administered intravenously (IV). Research from the civil prehospital environment shows that obtaining IV access can be difficult and time consuming, delaying onset of treatment. The challenges for obtaining IV access in the military prehospital setting are even bigger, for example in combat environments. However, this has not been assessed.

Current guidelines also offer alternative routes of administration for analgesics, for example intranasal (IN) administration. IN administration is a fast, easy and effective route of administration. This study determines whether IN administration of analgesia is faster and leads to increased healthcare provider satisfaction compared to IV administration in patients with acute traumatic pain in a simulated military prehospital environment.

Enrollment: 19 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

• All navy healthcare personnel attending (simulation) training on prehospital trauma care.

Exclusion Criteria: none

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: None (Open label)

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19 participants in 2 patient groups

IV first

Other group

Description:

Subjects in this group will be instructed to use intravenous administration in the first scenario and use intranasal administration in the second scenario.

Treatment:

Other: Intravenous administration

Other: Intranasal administration

IN first

Other group

Description:

Subjects in this group will be instructed to use intranasal administration in the first scenario and use intravenous administration in the second scenario.

Treatment:

Other: Intravenous administration

Other: Intranasal administration