Comparison of bupivacaine and lidocaine with epinephrine for digital nerve blocks

ISRCTN ISRCTN45121950
DOI https://doi.org/10.1186/ISRCTN45121950
Protocol serial number 2061015
Sponsor King Faisal Specialist Hospital and Research Center (Saudi Arabia)
Funder King Faisal Specialist Hospital and Research Centre (Saudi Arabia)
Submission date
31/03/2008
Registration date
08/04/2008
Last edited
11/05/2009
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Signs and Symptoms
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Mohammed Alhelail
Scientific

P.O. Box 230691
Riyadh
11321
Saudi Arabia

Phone +966 (0) 1 505 225 402
Email alhelail@yahoo.com

Study information

Primary study designInterventional
Study designSingle-centre randomised, double-blinded, prospective study with a single self-controlled arm
Secondary study designRandomised controlled trial
Scientific title
Study objectivesIn this study, we are comparing bupivacaine versus lidocaine with epinephrine when used for the digital block in healthy volunteers aiming to know if there is a difference in the pain of injection. Time of onset and duration of action will also be recorded and compared between the two local anaesthetics.
Ethics approval(s)Ethics approval received from:
1. The Clinical Research Committee of King Faisal Specialist Hospital and Research Center, Riyadh (Saudi Arabia) on the 17th May 2006 (proposal no.: 2061015)
2. The Research Ethics Committee of King Faisal Specialist Hospital and Research Center, Riyadh (Saudi Arabia) on the 12th June 2006

The reference number at the Office of Research Affair at King Faisal Specialist Hospital and Research Center, Riyadh (Saudi Arabia) is ORA/0642/27.
Health condition(s) or problem(s) studiedInjection pain in digital nerve blocks
Intervention1. Bupivacaine 0.5% (4 ml for each digit)
2. Lidocaine 1% with 1:100,000 epinephrin (4 ml for each digit)

Both anaesthetics were adminstered in either the right or left middle finger based on the randomisation table and each participant recieved both anaesthetics in either hand so each participant acts as a self-control to compare the pain of injection. All participants were blinded to which anaesthetics were going in each hand.

The total duration will be until the return of sensation and this will be followed by a 24-hour follow-up.
Intervention typeDrug
PhaseNot Specified
Drug / device / biological / vaccine name(s)Bupivacaine, lidocaine, epinephrine
Primary outcome measure(s)

The primary outcome was the pain of injection, and it was measured using a 0- to 100-mm visual analog scale (VAS).

Key secondary outcome measure(s)

1. The time in minutes from injection until anaesthesia, measured using testing needle pinpricks
2. The time in minutes from injection until return of sensation, measured using testing needle pinpricks

Completion date28/08/2006

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
Lower age limit18 Years
SexAll
Target sample size at registration12
Key inclusion criteria1. Healthy volunteers more than 18 years of age, either sex
2. No history of cardiovascular or liver disease
3. Not diabetic
4. No history of peripheral vascular disease
5. Not on any current medication
6. Has not taken analgesia within last 48 hours
7. Hasn't had any previous procedures conducted on both hands
8. No previous hand illness (e.g., Raynaud's disease)
9. No known allergies
Key exclusion criteriaDoes not meet above inclusion criteria.
Date of first enrolment27/08/2006
Date of final enrolment28/08/2006

Locations

Countries of recruitment

  • Saudi Arabia

Study participating centre

P.O. Box 230691
Riyadh
11321
Saudi Arabia

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/05/2009 Yes No