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

Not Applicable

• Conditions: Pain; Rib fractures; pulmonary function; Anaesthesiology - Pain management; Anaesthesiology - Anaesthetics; Injuries and Accidents - Fractures

• Registration Number: ACTRN12619001612101
• Lead Sponsor: niversity of Newcastle

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2019-11-22
• Last Update Posted: 10 December 2019

Recruitment & Eligibility

• Status: ot yet recruiting
• Sex: All
• Target Recruitment: 150

Inclusion Criteria

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

Exclusion Criteria

-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

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Change in 100mm visual analogue scale (VAS) for pain[The primary timepoints are immediately pre-block, and 24 hours post block.]