INTRAPLEURAL ANALGESIA VS ERECTER SPINAE PLANE BLOCK IN PATIENTS OF BLUNT TRAUMA CHEST - A RANDOMISED CONTROL TRIAL

Comparative research with other forms of regional anesthesia (intercostal block) are scarce. The published articles are plagued with small sample size and unclear methodology. No studies have addressed the issue of persistent pain, a common issue following trauma. The blocks/intrapleural injections have typically not been utilized for longer than 24-48 hours in most studies as well. Erector spinae catheter infusion and intermittent intrapleural Ropivacaine injection were not compared in any studies that we could identify. To compare these two approaches in terms of the incidence of long-term pain after 30 days and the control of acute pain during the first 72 to 96 hours, we propose a study. Incidences of pulmonary problems and complications associated with procedures will also be compared.

Primary Objective

ï‚· To compare the analgesic effect (Pain control) of

intermittent intrapleural injection of Ropivacaine, with

erector spinae catheter continuous infusion of Ropivacaine

in blunt trauma chest patients

Secondary Objective(s)

ï‚· To compare the complications related to both technique

ï‚· To assess the long term pain relief & pulmonary

complications