Effectiveness of paravertebral space and erector spinae plane regional anaesthesia techniques for patients with rib fractures – a randomised controlled trial

niversity of Newcastle0 个研究点目标入组 150 人开始时间: 2019年11月22日最近更新: 2019年12月10日

适应症

试验速览

暂无简介。

•Age > 18 years
•- Admitted
•- Minimal other distracting injuries
•- Unilateral, traumatic rib fractures – diagnosed radiologically via CXR or CT
•- Pain requiring opioid analgesia
•- Physical and cogitative ability to consent and attempt spirometry, i.e. able to obey simple commands
•- Injury must be within 48hours from time to block

•-Pathological rib fractures (resulting from a non-traumatic – e.g. neoplastic – process)
•-Condition preventing positioning for ESB or PVB e.g. unstable spinal fracture
•-Distracting injuries or significantly impaired cognition e.g. multi-trauma, significant head injury
•oWe are defining a distracting painful injury as ‘any injury producing acute functional impairment, or, any injury as if it is thought to have the potential to impair the patients ability to appreciate other injuries’ as used in NEXUS study
•-Coagulopathy or anticoagulated patients, in line with NYSORA guidelines
•-Infection over ideal approach for block
•-Any other contraindication for PVB or ESP
•-Presence of a sternal fracture
•-Rib fractures greater than 6 levels apart (e.g. 3 and 8 ok, 3 and 9 not ok).
•-Renal failure – eGFR < /= 30

发起方

niversity of Newcastle