The purpose of the study is to determine the efficacity of a simple blind technic of loco regional anaesthesia of the sciatic nerve compared to the gold standard in emergency medecine : the intravenous morphine for treated the severe pain of leg, ankle or foot trauma in the prehospital setting and mountain rescue.
Severe pain due to leg, ankle or foot trauma do not beneficiated of a simple loco regional anaesthesia technic. Loco regional anesthesia is superior to intravenous morphine for treating severe pain and specially during transportation and mobilization of the patient. The purpose of the study is to assessed a new technic of blind sciatic nerve block in the popliteal fossa in the pre hospital setting compared to the intravenous morphine. The blind technic is a modified technic of the classic sciatic nerve block with nerve stimulation.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
26
mepivacaine 1% 20 ml corresponding to 200 mg
Morphine alone with a placebo nerve block
Centre Hospitalier d'Albertville moutiers
Albertville, France
Centre Hospitalier de la Region d'Annecy
Annecy, France
Centre Hospitalier de Chambéry
Chambéry, France
Centre Hospitalier Universitaire de GRENOBLE
Grenoble, France
Centre medical d'Avoriaz
Morzine, France
Centre Hospitalier Sallanches Chamonix
Sallanches, France
Visual analog scale pain score
Time frame: 30 minutes
Total dose of morphine
Time frame: 60 minutes
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