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Acute PainNCT06838572

Effect of Remote Local Peripheral Nerve Cooling on Pain of Arterial Puncture

A study testing Skin cooling to 20°C, Skin cooling to 15°C and Skin cooling to 8°C in people with Acute Pain, run by The Second Affiliated Hospital of Chongqing Medical University at 1 site in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

In this project, volunteers will be recruited to cool the superficial skin of the axillary brachial plexus away from the puncture point, resulting in local peripheral nerve cooling, and observe its impact on the pain of arterial puncture.To explore the local peripheral nerve cooling treatment can produce controllable… Read more about this study

Who is it for?
Any age
Conditions the study is for
Acute Pain
What is being tested?
Skin cooling to 20°C, Skin cooling to 15°C and Skin cooling to 8°C
Type of treatment
Surgery or procedure
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
100 participants
Where
1 siteChina
Study dates
15 Feb 2025to 1 Sep 2025
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • 18 ~ 65 years old;
  • ASA I-II level;
  • Patients with perioperative invasive arterial blood pressure monitoring;
  • Right-handed;
  • Allen test was normal (palm color quickly turned red or returned to normal within 10 seconds after release of ulnar artery pressure);
  • Participate voluntarily and be able to understand and sign informed consent.

Who cannot join

  • Patients with a history of musculoskeletal, vascular, neurological or psychiatric disorders;
  • Patients with a history of diabetes or other systemic diseases
  • Patients who used any analgesic medication within the month before and during the study;
  • Patients with a history of smoking, alcohol or drug addiction;
  • Paraesthesia, scar, redness, damage, rash, etc. exist in the skin of the patient in the test area;
  • Patients whose surgical area overlaps with the cooling treatment or puncture area;
  • Female subjects are menstruating.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

China1 site, 1 recruiting
  • The Second Affiliated Hospital of Chongqing Medical University

    Chongqing, Chongqing Municipality, 4000000

    He Huang, ph.D, 86+13708385559, huanghe@cqmu.edu.cn

    Recruiting

Other trials in China

About this study

In this project, volunteers will be recruited to cool the superficial skin of the axillary brachial plexus away from the puncture point, resulting in local peripheral nerve cooling, and observe its impact on the pain of arterial puncture.To explore the local peripheral nerve cooling treatment can produce controllable and reversible analgesic effect even if away from the wound, and provide a new nonpharmaceutical analgesic mode for clinical.

Read the detailed description

Arterial puncture is a common cause of iatrogenic pain and anxiety, which can lead to stress and arterial spasm, leading to puncture failure.Clinicians usually use pharmacology to treat acute pain, but it is often accompanied by circulatory and respiratory depression, abnormal coagulation function, edema, pruritus, nausea, vomiting, constipation, addiction, etc., which can lead to death, and doctors strictly restrict the use of indications.In addition to drugs, electrical, light, mechanical or thermal stimulation can produce local reversible blocking effect of the peripheral nerve.Temperature is a simple, controllable and reversible physical factor.Current studies have shown that cooling the peripheral nerve to 10-15°C for 10 minutes can relieve pain, and numbness can occur after 15 minutes.These results suggest that cooling the peripheral nerve of sensory innervation in the remote trauma area can reduce nerve conduction velocity and signal amplitude, and provide a new method for non-pharmaceutical analgesia.Local peripheral nerve cooling therapy is an attractive approach to blocking nociceptive information because it is non-addictive, reversible, and allows simultaneous electrophysiological monitoring of the blocked nerve.In this project, volunteers will be recruited to cool the superficial skin of the axillary brachial plexus away from the puncture point, resulting in local peripheral nerve cooling, and observe its impact on the pain of arterial puncture.To explore the local peripheral nerve cooling treatment can produce controllable and reversible analgesic effect even if away from pain stimulation, and provide a new nonpharmaceutical analgesic mode for clinical.

Conditions
Acute Pain
Being tested
Skin cooling to 20°C, Skin cooling to 15°C, Skin cooling to 8°C, No skin cooling
Keywords
Skin cooling, arterial puncture, analgesia
Medical subject headings
Acute Pain, Agnosia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Skin cooling to 20°CProcedure or surgery

    According to the group, copper parts at a constant temperature of 20°C were placed on the superficial skin of the brachial plexus for 15 minutes.

  • Skin cooling to 15°CProcedure or surgery

    According to the group, copper parts at a constant temperature of 15°C were placed on the superficial skin of the brachial plexus for 15 minutes.

  • Skin cooling to 8°CProcedure or surgery

    According to the group, copper parts at a constant temperature of 8°C were placed on the superficial skin of the brachial plexus for 15 minutes.

  • No skin coolingProcedure or surgery

    According to the group, copper parts at room temperature (23°C) were placed on the superficial skin of the brachial plexus for 15 minutes.

Study groups in NCT06838572
Study groupRoleWhat they receive
Skin cooling to 20°CExperimentalThe superficial skin of the right brachial plexus (superficial skin of the axillary artery at the junction of the right pectoralis major and biceps) cooled to 20°C for 15 minutes. After cooling, 1ml 2% lidocaine was injected into the superficial skin of the right radial artery. After local anesthesia, right radial artery puncture catheterization was performed. Immediately after the puncture, warm air at 35°C was applied to the cooling treatment area for 10 minutes, and the target temperature was the surface temperature of the area before cooling treatment.
Receives: Procedure: Skin cooling to 20°C
Skin cooling to 15°CExperimentalThe superficial skin of the right brachial plexus (superficial skin of the axillary artery at the junction of the right pectoralis major and biceps) cooled to 15°C for 15 minutes. After cooling, 1ml 2% lidocaine was injected into the superficial skin of the right radial artery. After local anesthesia, right radial artery puncture catheterization was performed. Immediately after the puncture, warm air at 35°C was applied to the cooling treatment area for 10 minutes, and the target temperature was the surface temperature of the area before cooling treatment.
Receives: Procedure: Skin cooling to 15°C
Skin cooling to 8°CExperimentalThe superficial skin of the right brachial plexus (superficial skin of the axillary artery at the junction of the right pectoralis major and biceps) cooled to 8°C for 15 minutes. After cooling, 1ml 2% lidocaine was injected into the superficial skin of the right radial artery. After local anesthesia, right radial artery puncture catheterization was performed. Immediately after the puncture, warm air at 35°C was applied to the cooling treatment area for 10 minutes, and the target temperature was the surface temperature of the area before cooling treatment.
Receives: Procedure: Skin cooling to 8°C
No skin coolingPlacebo comparatorThe superficial skin of the right brachial plexus does not need to be cooled. After waiting 15 minutes, 1ml2% lidocaine was injected into the superficial skin of the right radial artery. After local anesthesia, right radial artery puncture catheterization was performed. There is no need to warm the radial artery after catheterization.
Receives: Procedure: No skin cooling

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Visual Analogue Pain Scale (VAS) score of arterial puncture procedure

    The larger values of the Visual Analogue Pain Scale (VAS) score of local anesthetic injection and the Visual Analogue Pain Scale (VAS) score of arterial puncture catheterization were taken as the Visual Analogue Pain Scale (VAS) score of the process of arterial puncture catheterization.(VAS ranging from 0 to 10, where 0 indicates no pain and 10 indicates the worst pain imaginable)

    Measured: From 0 to 3 hours after the volunteers enter the pre-anesthesia holding area.

Secondary outcomes (23)
  1. Pressure pain threshold

    Before the start of cooling therapy, 5 minutes into cooling therapy, 15 minutes after the start of cooling therapy, and 10 minutes after rewarming, the handheld algometer is used to measure the Pressure Pain Threshold (PPT) at the following locations:

    The midpoint of the ulna and radius at the wrist joint of both forearms (as bony pressure pain points) The brachioradialis muscle on the lateral side of the forearm (as muscular pressure pain points) Unit: Kilograms-force per square centimeter (kg/cm²)

    Measured: From 0 to 3 hours after the volunteers enter the pre-anesthesia holding area.

  2. Pressure pain tolerance

    Before the start of cooling therapy, 5 minutes into cooling therapy, 15 minutes after the start of cooling therapy, and 10 minutes after rewarming, the handheld algometer is used to measure the Pressure Pain Tolerance (PTO) at the aforementioned locations.

    Unit: Kilograms-force per square centimeter (kg/cm²)

    Measured: From 0 to 3 hours after the volunteers enter the pre-anesthesia holding area.

  3. The average perfusion

    Before the administration of local anesthesia, during the process of local anesthesia, after the completion of local anesthesia, before arterial puncture, during the arterial puncture procedure, and after the completion of arterial puncture, the patient is instructed to maintain a calm state and lie in a supine position with the left arm abducted. Under these conditions, the Region of Interest (ROI) is outlined using laser speckle technology, and the average perfusion of this area is measured.

    Measured: From 0 to 3 hours after the volunteers enter the pre-anesthesia holding area.

  4. The median perfusion

    Before the administration of local anesthesia, during the process of local anesthesia, after the completion of local anesthesia, before arterial puncture, during the arterial puncture procedure, and after the completion of arterial puncture, the patient is required to remain calm and in a supine position with the left arm abducted. Under these conditions, the Region of Interest (ROI) is outlined using laser speckle technology, and the median perfusion of this area is measured.

    Measured: From 0 to 3 hours after the volunteers enter the pre-anesthesia holding area.

  5. The maximum perfusion

    Before the administration of local anesthesia, during the process of local anesthesia, after the completion of local anesthesia, before arterial puncture, during the arterial puncture procedure, and after the completion of arterial puncture, the patient is required to remain calm and in a supine position with the left arm abducted. Under these conditions, the Region of Interest (ROI) is delineated using laser speckle technology, and the maximum perfusion of this area is measured.

    Measured: From 0 to 3 hours after the volunteers enter the pre-anesthesia holding area.

  6. The minimum perfusion

    Before the administration of local anesthesia, during the process of local anesthesia, after the completion of local anesthesia, before arterial puncture, during the arterial puncture procedure, and after the completion of arterial puncture, the patient is required to remain calm and in a supine position with the left arm abducted. Under these conditions, the Region of Interest (ROI) is delineated using laser speckle technology, and the minimum perfusion of this area is measured.

    Measured: From 0 to 3 hours after the volunteers enter the pre-anesthesia holding area.

  7. The approximate depth of the right brachial plexus.

    Perform ultrasound localization of the right axillary artery depth before the start of hypothermia treatment.

    Unit: millimeters (mm).

    Measured: From 0 to 3 hours after the volunteers enter the pre-anesthesia holding area.

  8. Depth of the Right Radial Artery

    Place the ultrasound probe at a position 1 cm proximal to the right radial styloid process to measure the distance from the skin surface to the center of the right radial artery at the following time points:before the start of cooling, 5 minutes into cooling, 15 minutes after the start of cooling, and 10 minutes after rewarming.

    Unit: Millimeters (mm)

    Measured: From 0 to 3 hours after the volunteers enter the pre-anesthesia holding area.

  9. Peak Systolic Velocity (PS)

    The maximum blood flow velocity in the right radial artery during the systolic phase of the cardiac cycle is measured at the following time points: before the start of cooling, 5 minutes into cooling, 15 minutes after the start of cooling, and 10 minutes after rewarming. The ultrasound probe is placed 1 centimeter proximal to the styloid process of the right radius, reflecting the artery's ability to transport blood.

    Unit: Centimeters per second (cm/s)

    Measured: From 0 to 3 hours after the volunteers enter the pre-anesthesia holding area.

  10. End Diastolic Velocity (ED)

    The blood flow velocity at the end of the diastolic phase in the right radial artery is measured at the following time points: before the start of cooling, 5 minutes into cooling, 15 minutes after the start of cooling, and 10 minutes after rewarming. The ultrasound probe is placed 1 centimeter proximal to the styloid process of the right radius, to assess changes in blood flow.

    Unit: Centimeters per second (cm/s)

    Measured: From 0 to 3 hours after the volunteers enter the pre-anesthesia holding area.

  11. Time-Averaged Maximum Velocity (TAMAX)

    The highest average blood flow velocity in the right radial artery over a specified time interval is measured at the following time points: before the start of cooling, 5 minutes into cooling, 15 minutes after the start of cooling, and 10 minutes after rewarming. The ultrasound probe is placed 1 centimeter proximal to the styloid process of the right radius, to evaluate changes in blood flow.

    Unit: Centimeters per second (cm/s)

    Measured: From 0 to 3 hours after the volunteers enter the pre-anesthesia holding area.

  12. Time-Averaged Mean Velocity (TAMEAN)

    The average blood flow velocity in the right radial artery over a specified time interval is measured at the following time points: before the start of cooling, 5 minutes into cooling, 15 minutes after the start of cooling, and 10 minutes after rewarming. The ultrasound probe is placed 1 centimeter proximal to the styloid process of the right radius, to assess changes in blood flow.

    Unit: Centimeters per second (cm/s)

    Measured: From 0 to 3 hours after the volunteers enter the pre-anesthesia holding area.

  13. Pulsatility Index (PI)

    A dimensionless index measuring changes in blood flow velocity over the cardiac cycle is measured at the following time points: before the start of cooling, 5 minutes into cooling, 15 minutes after the start of cooling, and 10 minutes after rewarming. The ultrasound probe is placed 1 centimeter proximal to the styloid process of the right radius, to comprehensively assess changes in arterial vascular function and hemodynamics.

    Measured: From 0 to 3 hours after the volunteers enter the pre-anesthesia holding area.

  14. Resistance Index (RI)

    The Resistance Index (RI) is measured at the following specific time points: before the start of cooling therapy, 5 minutes into the cooling therapy, 15 minutes after the start of cooling therapy, and 10 minutes after the rewarming period. This index is used to assess the resistance to blood flow within the artery and to understand changes in the blood flow status.

    Measured: From 0 to 3 hours after the volunteers enter the pre-anesthesia holding area.

  15. Systolic/Diastolic Ratio (S/D)

    The ratio of systolic to diastolic blood flow velocities is calculated at the following time points: before the start of cooling, 5 minutes into cooling, 15 minutes after the start of cooling, and 10 minutes after rewarming, which helps to assess changes in hemodynamics and vascular health.

    Measured: From 0 to 3 hours after the volunteers enter the pre-anesthesia holding area.

  16. Blood Flow Volume (VolFlow)

    The volume of blood flowing through the right radial artery is measured at the following time points: before the start of cooling, 5 minutes into cooling, 15 minutes after the start of cooling, and 10 minutes after rewarming. The ultrasound probe is placed 1 centimeter proximal to the styloid process of the right radius, to evaluate changes in blood flow.

    Unit: Milliliters per minute (mL/min)

    Measured: From 0 to 3 hours after the volunteers enter the pre-anesthesia holding area.

  17. Vessel Diameter (Vas Diam)

    The internal diameter of the right radial artery is measured before the start of cooling therapy, 5 minutes into cooling, 15 minutes after the start of cooling, and 10 minutes after rewarming. The ultrasound probe is placed 1 centimeter proximal to the styloid process of the right radius to assess the width of the artery lumen.

    Unit: Millimeters (mm)

    Measured: From 0 to 3 hours after the volunteers enter the pre-anesthesia holding area.

  18. Vessel Area (Vas Area)

    The cross-sectional area of the right radial artery is measured at the following time points: before the start of cooling, 5 minutes into cooling, 15 minutes after the start of cooling, and 10 minutes after rewarming. The ultrasound probe is placed 1 centimeter proximal to the styloid process of the right radius, providing an indicator of the artery's size.

    Unit: Square millimeters (mm²)

    Measured: From 0 to 3 hours after the volunteers enter the pre-anesthesia holding area.

  19. Room Temperature (°C)

    Measured at the following time points: before initiation of cooling therapy, 5 minutes after cooling therapy initiation, 15 minutes after cooling therapy initiation, and 10 minutes after rewarming. Unit: degrees Celsius (°C).

    Measured: From 0 to 3 hours after the volunteers enter the pre-anesthesia holding area.

  20. Skin Temperature at the Right Brachial Plexus Superficial Ice Pack Application Area (°C)

    Measured at the following time points: before initiation of cooling therapy, 5 minutes after cooling therapy initiation, 15 minutes after cooling therapy initiation, and 10 minutes after rewarming. Unit: degrees Celsius (°C).

    Measured: From 0 to 3 hours after the volunteers enter the pre-anesthesia holding area.

  21. Skin Temperature at the Right Radial Artery Puncture Site (°C)

    Measured at the following time points: before initiation of cooling therapy, 5 minutes after cooling therapy initiation, 15 minutes after cooling therapy initiation, and 10 minutes after rewarming. Unit: degrees Celsius (°C).

    Measured: From 0 to 3 hours after the volunteers enter the pre-anesthesia holding area.

  22. Superficial Skin Temperature at the Left Radial Artery (°C)

    Measured at the following time points: before initiation of cooling therapy, 5 minutes after cooling therapy initiation, 15 minutes after cooling therapy initiation, and 10 minutes after rewarming. Unit: degrees Celsius (°C).

    Measured: From 0 to 3 hours after the volunteers enter the pre-anesthesia holding area.

  23. Complication

    Observe whether there is frostbite in the remote local peripheral nerve cooling treatment, test and puncture area, and diagnose and treat frostbite as early as possible.

    Measured: From 0 to 24 hours after the volunteers enter the pre-anesthesia holding area.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted20 Feb 2025
  2. Study start15 Feb 2025
  3. Primary completion1 Sep 2025 (estimated)
  4. Study completion1 Sep 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Prospective, randomized, patient-assessor blinded
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
100 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06838572
Sponsor's protocol ID
HH123
Status last verified
Feb 2025
First submitted
9 Feb 2025
Last updated
30 May 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: The individual participant data for this study is available from the sponsor on reasonable request through email.

Questions about this trial

What is this clinical trial studying?

A study testing Skin cooling to 20°C, Skin cooling to 15°C and Skin cooling to 8°C in people with Acute Pain, run by The Second Affiliated Hospital of Chongqing Medical University at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 30 May 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact He Huang, ph.D (86+13708385559, huanghe@cqmu.edu.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Visual Analogue Pain Scale (VAS) score of arterial puncture procedure (time frame: From 0 to 3 hours after the volunteers enter the pre-anesthesia holding area.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 May 2025.

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