Analgesic Efficacy of Serratus Anterior Plane Block in The Rib Fractures Pain

Not Applicable

Completed

• Conditions: Serratus Plane Block
• Interventions: Procedure: Control; Procedure: Serratus Plane Block

• Registration Number: NCT04293354
• Lead Sponsor: Kahramanmaras Sutcu Imam University

Brief Summary

Serratus Anterior Plane Block (SAPB) is a facial plane block that was first described by Blanco in 2013 and that blocks the lateral cutaneous branches of the T2-T9 intercostal nerves, the intercostobrachial nerve, n. thoracic longus, n. thoracodorsalis nerves. Case and case series have been reported in the literature on the use of SAPB in rib fractures, and it has been reported as an effective analgesia method. We apply SAPB to patients with rib fractures with pain in our clinic.

Our aim is to evaluate SAPB for patients with rib fractures pain and to compare them with the control group in terms of total analgesic consumption and pain scores.

Detailed Description

After Ethics Committee approval patients with rib fracture pain and have a Numerical Rating Scale (NRS) score of ≥ 4, included the study. The patients were randomized by the closed envelope method. The patients were divided into two groups as the SAPB-performed group (Group S) and the Control group (Group K). Intravenous patient-controlled analgesia (PCA) device prepared with tramadol was applied to all patients.

Study Timeline

• Study Start: 2017-08-01
• Primary Completion: 2019-04-01
• Study Completion: 2019-04-01
• Status Verified: 2020-02
• Study First Submitted: 2020-02-29
• Study First Submitted QC: 2020-02-29
• Last Update Submitted: 2020-02-29
• Study First Posted: 2020-03-03
• Last Update Posted: 2020-03-03

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

Rib fracture pain and had a Numerical Rating Scale (NRS) score of ≥ 4 ASA I-II-III

Exclusion Criteria

Patients with infection at the injection site Coagulopathy Allergy to amide-type local anesthetics History of peripheral neuropathy Hepatic and/or renal failure Refusing the procedure

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
Control	Control	No block was performed, tramadol was administered with patient-controlled analgesia (PCA) and all patients were followed in the ward.
Serratus Plane Block	Serratus Plane Block	The Serratus plane block was performed, tramadol was administered with patient-controlled analgesia (PCA) and all patients were followed in the ward.

Primary Outcome Measures

Name	Time	Method
Analgesic consumption	up to 24 hour	Tramadol

Secondary Outcome Measures

Name	Time	Method
Numerical Rating Scale (NRS)	at 30 minutes, 1 hour, 2 hours, 4 hours, 6 hours, 12 hours, 24 hours	pain scores

Trial Locations

Locations (1)

Kahramanmaras Sutcu Imam University Hospital; 🇹🇷 Kahramanmaras, Turkey