Registry for Acute Pain Treatment

Study Overview
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Brief Summary
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The German Network for acute pain management and Regional Anesthesia (NRA) is a multi-center, non-interventional registry and benchmark project, assessing and analysing clinical and patient-reported procedural and outcome data of systemic analgesia and regional anesthesia hosted by the German Society of Anesthesia and Intensive Care Medicine (DGAI) and professional Society German Anesthetists (BDA)

Detailed Description
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NRA offers the systematic documentation of patient related and procedure related components for acute pain treatments during and after surgery. NRA collects preoperative, intraoperative, and postoperative data from treating physicians who complete a standard form. Data are collected concurrently with patient care by pain nurses or treating physicians and include detailed information about the medical conditions of patients having acute pain treatment along with the procedure and postoperative course. The registry provides the basis for large scale analyses and benchmarks for several parameters. The registry also aims at performing population-based research. Furthermore, its infrastructure allows for the conduct of prospective studies comparing the effectiveness of processes of care.

Official Title
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Improvement of Acute Pain Treatment With Systemic and Regional Anesthesia

Conditions
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Pain, Postoperative, Regional Anesthesia

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: The investigators include anonymous data from patients with continuous regional anesthesia, single shot regional anesthesia, or systemic analgesia Exclusion Criteria: None.

Ages Eligible for Study
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Maximum Age: 100 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| regional anesthesia<br>surgical patients (age: 0-100 years) having regional anesthesia along with the procedure and postoperative course | |
| systemic analgesia<br>surgical patients (age: 0-100 years) having systemic analgesia along with the procedure and post procedure course | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Acute complications during insertion of regional anesthesia | Procedural complications include dural puncture, bleeding, nerve damage, intoxication, malfunction, technical and equipment difficulties or failures. | at the day of insertion, day zero | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain levels after surgery | Pain and pain related outcome measures (NRS at rest and on exertion, opioid and non-opioid consumption), interference of pain with activities, pain therapy side effects, pre-hospital existence of pain, information on general treatment | Daily visits (ward rounds) as long as in-hospital pain treatment is given; may take up to the length of the hospital stay, up to 90 days | 
| Satisfaction | 1. Patient and physician satisfaction: Satisfaction with the respective pain treatment reported by patients (verbal numeric rating scale ranging from 0 (=completely dissatisfied) to 10 (=completely satisfied). | after end of acute pain treatment, between day zero and up to day 90 | 
| Complications of acute pain treatment | hypotension, sedation, urinary retention, infections, procedural complications such as nausea and vomiting, respiratory depression, itching, malfunction, nerve damage, intoxication, technical and equipment difficulties or failures | Daily visits (ward rounds) as long as in-hospital pain treatment is given; may take up to the length of the hospital stay, between day zero and day 90 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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anesthesia, continuous regional anesthesia, complications, epidural analgesia, antibiotics