Status:

COMPLETED

Fentanyl Administered Intraorally for Rapid Treatment of Orthopedic Pain

Lead Sponsor:

Massachusetts General Hospital

Conditions:

Pain, Fracture, Sprain

Eligibility:

All Genders

18-60 years

Phase:

PHASE1

PHASE2

Brief Summary

Assess whether transbuccal fentanyl provides more rapid relief of orthopedic pain, than does the comparator Percocet

Detailed Description

Patients will be initially deemed eligible for study consideration if, after MGH ED nursing triage, an X-ray is ordered for suspected isolated extremity injury and the triage acuity level is "Minor". ...

Eligibility Criteria

Inclusion

  • INCLUSION:
  • 18-60 years of age
  • Present to ED with a chief complaint of extremity injury
  • Negative pregnancy test (urine or blood)
  • Clinician judges subject to need extremity radiography to rule out a fracture
  • Subjects must indicate that their pain is of sufficient severity to warrant treatment with a pain medication stronger than acetaminophen or aspirin.
  • Subject's treating ED provider is aware of, and approves, participation (i.e. participation cannot be allowed to impair provision of standard patient care).
  • EXCLUSION:
  • Treating provider judges that IV analgesia is required
  • Allergy to acetaminophen or to any opiate/opioid
  • Currently taking phenothiazines or CNS depressants (including alcohol), or if subject has taken MAO inhibitors or SSRIs within the past two weeks
  • Already taken or been administered opioid analgesia for their current injury
  • Chronic opioid therapy or if the subject (or their medical records) indicate a history of opioid abuse
  • Breastfeeding mothers
  • If subject is planning to drive home after their ED visit, or if they are judged for any other reason to be non-candidates for opioid therapy.
  • hypersensitivity to lansoprazole
  • phenylketonuria

Exclusion

    Key Trial Info

    Start Date :

    August 1 2008

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    February 1 2009

    Estimated Enrollment :

    60 Patients enrolled

    Trial Details

    Trial ID

    NCT00685295

    Start Date

    August 1 2008

    End Date

    February 1 2009

    Last Update

    February 9 2017

    Active Locations (1)

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    1

    Massachusetts General Hospital

    Boston, Massachusetts, United States, 02114