The Irrigation or No Irrigation in Simple Lacerations Trials
Université de Sherbrooke
1,000 participants
Jan 1, 2017
INTERVENTIONAL
Conditions
Summary
The purpose of this study is to determine whether the irrigation or non-irrigation of a simple laceration treated in the emergency department has an effect on the subsequent rate of infection.
Eligibility
Inclusion Criteria4
- age 18 or older
- repair within 18 hours from time of injury
- repair done by the emergency room physician or trainee
- clean and simple lacerations (clean edge with no gross contamination, as assessed by the treating physician)
Exclusion Criteria9
- pregnant patients
- involving tendons, muscles, fascias, articulations
- located on the ear, nose or distal to metacarpophalangeal or metatarsophalangeal joint
- immunosuppressed (neutropenia, chronic corticotherapy, HIV, immunosuppressive therapy within 3 months)
- bite wounds
- lacerations with any loss of substance
- lacerations with foreign body
- complex lacerations (crush, stellate)
- grossly contaminated
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Interventions
A designated unblinded medical team member (nurse, emergency room physician or resident/trainee uninvolved in that particular patient's care) will prepare the laceration for repair and perform the irrigation. Irrigation will be delivered through a 20 Gauge 1 inch long catheter mounted on a 60 millilitre syringe. The volume of normal saline used will be calculated as 60 millilitre per centimetre length of laceration for a maximum of 300 millilitre. Once completed, the treating physician will enter the room and proceed to the laceration closure with the method and equipment of his choice. Both the patient (through eye covering) and the treating physician will remain blinded to the intervention.
A designated unblinded medical team member (nurse, emergency room physician or resident/trainee uninvolved in that particular patient's care) will prepare the laceration for repair. The laceration will not directly be irrigated. In order to ensure blinding of the subjects, the surrounding of the wound will be irrigated with a total of 60 millilitre of normal saline delivered through a 20 Gauge 1 inch long catheter mounted on a 60 millilitre syringe. Care will be taken not to enter a margin of 5cm from the laceration edges. Once completed, the treating physician will enter the room and proceed to the laceration closure with the method and equipment of his choice. Both the patient (through eye covering) and the treating physician will remain blinded to the intervention.
Locations(1)
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NCT02976480