Treatment for Wounds

1
Effectiveness
1
Safety
Dartmouth-Hitchcock Medical Center, Lebanon, NH
Wounds+1 More
Eligibility
18+
All Sexes
Eligible conditions
Wounds

Study Summary

This study is evaluating whether ultrasound guided lumbar puncture is a safe and effective method of obtaining CSF.

See full description

Eligible Conditions

  • Wounds
  • Wounds and Injuries
  • Lumbar Punctures

Treatment Effectiveness

Effectiveness Estimate

1 of 3

Study Objectives

This trial is evaluating whether Treatment will improve 1 primary outcome and 5 secondary outcomes in patients with Wounds. Measurement will happen over the course of During the baseline visit, approximately 1 hour.

Hour 1
Success rate of obtaining CSF within 3 attempts
Immediately following consent, during baseline visit
Number of attempts to obtain CSF
Hour 1
Time to completion of LP, in minutes
Immediately post-procedure, approximately 5 minutes
Pain after the procedure
Hour 72
Occurrence of post LP headache
Day 1
Incidence of traumatic tap

Trial Safety

Safety Estimate

1 of 3

Trial Design

2 Treatment Groups

Landmark-based lumbar puncture

This trial requires 72 total participants across 2 different treatment groups

This trial involves 2 different treatments. Treatment is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Landmark-based lumbar puncture
Procedure
Landmark-based LP
Ultrasound-guided lumbar puncture
Procedure
Ultrasound-guided LP

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: phone call within 72 hours of procedure
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly phone call within 72 hours of procedure for reporting.

Who is running the study

Principal Investigator
V. R.
Vijay Renga, Principal Investigator
Dartmouth-Hitchcock Medical Center

Closest Location

Dartmouth-Hitchcock Medical Center - Lebanon, NH

Eligibility Criteria

This trial is for patients born any sex aged 18 and older. There are 3 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
The person is able to understand what the procedure is, what is involved, and the risks and benefits show original
A patient is scheduled to have a lumbar puncture (LP) through the neurology LP clinic. show original
18 years of age or older

Patient Q&A Section

Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Does treatment improve quality of life for those with wounds?

Add answer

There were no clinically significant differences in quality of life for people with wounds before and after treatment on this study, so any benefit of treatment would be minimal in most circumstances.

Unverified Answer

What are common treatments for wounds?

Add answer

The management of wounds is guided by the specific type of wound. The following is a summary of the available treatments and the level of evidence they provide.

Unverified Answer

How many people get wounds a year in the United States?

Add answer

1.6 million people visit the United States general physician during a typical year, and the majority will receive at least one surgical or burn wound wound treatment. 2.0 million Americans a year come to the emergency room for the emergency treatment of wounds, many of which are related to accidents or violence. There is a large and increasing population of patients requiring surgery for various types of chronic wounds. 3.2 million Americans a year suffer from venous ulcer, mostly because of chronic venous insufficiency (CVI); this is an immense burden on the United States healthcare system. 4.1 million Americans a year suffer from diabetic foot disease. Wounds are costly.

Unverified Answer

What are the signs of wounds?

Add answer

While common signs of wounds are described in the preceding sections, it is important to note that some less common signs and symptoms of wounds appear in our study. For example, in an infection following wounding, a wound-edge abscess might develop. If one has not checked if there is a wound in a patient recently, check for abscesses by feeling the corners of the jaw and checking underneath the jaw. A wound in the skin may cause redness. When a wound has closed, one might be able to feel if there is a defect in the skin (e.g., a wound that is large enough that it may have broken the skin).

Unverified Answer

What causes wounds?

Add answer

There was a high prevalence of trauma-related injury and wounds among the patients surveyed. Injury caused by road cycling was the most common cause of trauma-related injury/wounds among young women. The high prevalence of cycling-related trauma-related injuries and their high injury severity in the absence of an apparent rule that states that only adults should be riding bicycles confirms the view that bicycling has become a social activity and is a major cause of traumatic injuries in young populations. There is a need to consider injury prevention strategies in addition to interventions aimed at increasing exercise activity and decreasing passive time when children are exposed to and have access to bicycles.

Unverified Answer

Can wounds be cured?

Add answer

An ideal healing of wounds will not occur, but many will be very effectively cured and almost full healing possible. However, the ultimate answer remains that it is a human issue with many other possibilities. No matter what the ultimate answer, a good healing of wounds is achievable using natural methods. We therefore recommend these methods as a first line intervention for all acute wounds.

Unverified Answer

What is wounds?

Add answer

An injury may result from a physical accident (such as a cut or stab wound), or as an infection. The two may manifest as a burn, or as an acute or chronic infection in the wound. Infections in wounds can take place within the acute phase, also known as the inflammatory phase which lasts from the first 24-48 hours after injury. The infection is usually caused by a bacteria or fungi. It can spread to other tissues and organs, which can cause systemic infection. Chronic wounds may occur when an infection in a wound persists without resolution. Wounds have a variety of medical treatments to treat and prevent infections, including debridement, antibiotics, or surgical intervention, depending on the type of injury.

Unverified Answer

How serious can wounds be?

Add answer

These serious wounds could easily result in death. The best way to identify serious wounds is to listen to family members. Families of patients with severe wounds would do the best to remember the following information: 1) do not dress a gunshot wound with a bandage. 2) if there was a laceration of the abdomen, it is necessary to consult a doctor for exploratory surgery. 3) if any kind of surgery is necessary, consult a doctor first. 4) if there is any kind of infection or inflammation around the wound, consult a doctor first. 5) if there is no pulse in the wounded area, or if there are changes in mood and activity, consult a doctor first.

Unverified Answer

What are the common side effects of treatment?

Add answer

Generally, a good result is indicated by the clearance of acne. The most common side effects of treatment are tenderness, irritation, and swelling at the application site. A more detailed list of the common side effects will be given hereafter. Treatment-related severe side-effects are rare. Although patients are asked to report any of the side-effects prior to the first visit, some symptoms cannot be easily reported by patients. For patients with a history of a mild allergic reaction, the possibility of a severe reaction should not be ignored. Patients' individual circumstances and needs in treatment need to be considered in treatment choice. If treatment causes an adverse reaction, treatment need not be discontinued, but the treatment can be adjusted after the side-effect is relieved.

Unverified Answer

Have there been any new discoveries for treating wounds?

Add answer

We know that we need to find a way to heal wounds, and we're exploring this with an 'inside out' approach. Using the human brain's healing mechanisms may help our patients heal a deeper, more permanent wound at the cellular level. Further research into the brains' ability to heal wound is crucial to find out if this is a viable theory for treating a wide array of physical and mental injuries. This topic has been covered for years in the world of medicine, and unfortunately we're still not anywhere near discovering a complete and effective treatment for wounds. If we succeed with this research, then we may be on a new, 'inside out' path for treating wounds.

Unverified Answer

What are the latest developments in treatment for therapeutic use?

Add answer

This review includes the latest techniques and treatments (in addition to classical surgical techniques) of a growing population of patients. In some cases, the newest techniques have even increased the survivorship and the quality of life of these patients.

Unverified Answer

What does treatment usually treat?

Add answer

Wounds heal a great deal more quickly than any other condition, but it is still not a trivial matter. In fact, wounds often have more complicated etiologies than what is usually treated. There is no reason, of course, for the surgeon to expect a cure. However, certain wounds heal better than they look (or might look). When one cannot find that cure, do not stop treatment.

Unverified Answer
See if you qualify for this trial
Get access to this novel treatment for Wounds by sharing your contact details with the study coordinator.