Ultrasound- Guided Continuous Serratus Anterior Plane Block Versus Ultrasound- Guided Continuous Thoracic Paravertebral Block For Analgesia in Multiple Traumatic Rib Fractures.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 70
- 试验地点
- 2
- 主要终点
- Degree of pain scores
研究概览
简要总结
The aim of this study is to compare the analgesic efficacy of ultrasound guided continuous SAP block and ultrasound guided continuous TPVB in patients with multiple traumatic rib fractures.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 22 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients of either gender aged between 22-65 years with unilateral traumatic multiple fracture ribs (≥ 3 fractured ribs).
排除标准
- •• Contraindications to regional block such as patient's refusal, coagulopathy, local infection at the site of the block, known allergy to local anesthetic drugs and spinal deformity.
- •Patients suffer from severe cardiovascular disease, hepatic or renal disease and patients with history of psychiatric illness.
- •Patients had indications for mechanical ventilation on admission or during the study period.
- •Patients had indications for immediate surgery for other associated injuries.
- •Patients with hemodynamic instability.
- •Patients having spine or pelvic fracture, traumatic brain injury, altered conscious level or spinal cord injury.
结局指标
主要结局
Degree of pain scores
时间窗: Four days after the block
Pain will be assessed at rest and on coughing using the VAS on a scale from 0 (no pain) to 100 (worst pain) before the block, 30 minutes, 60 minutes after the block, and then every six hours for 4 days. But in order not to interrupt the sleeping pattern of patients, patients will be considered pain free (VAS= 0) if they will be at sleep with no tachypnea, tachycardia, or hypertension.
次要结局
- Changes of forced vital capacity (FVC)(Four days after the block)
- Changes of forced expiratory volume in one second (FEV1)(Four days after the block)
- Incidence of complications(Four days after the block)
- Total consumption of morphine(Four days after the block)
- Changes of forced expiratory volume in one second (FEV1)/forced vital capacity (FVC)(Four days after the block)
- Length of ICU stay(Four days after the block)
- Length of hospital stay(Four days after the block)
研究者
Osama Rehab
Principal Investigator; Assistant lecturer of Anesthesiology, Surgical Intensive Care and Pain Medicine
Tanta University