Pulmonary function measured by spirometry in patients with acute rib fractures treated with either paravertebral blockade or erector spinae plane block: A pilot study

Middlemore Hospital0 sites40 target enrollmentNovember 10, 2020

Overview

No summary available.

Registry

who.int

Start Date

November 10, 2020

End Date

TBD

Last Updated

5 years ago

Study Type

Interventional

Sex

All

Sponsor

Middlemore Hospital

•Inclusion Criteria:
•\-Adult patients aged greater than 18 years old
•\-Three or more rib fractures diagnosed on either plain radiograph or computed tomography (CT) scan of the chest
•\-Decision by the Pain Service to insert a continuous regional analgesic catheter – defined as either:
•oParavertebral catheter
•oErector spinae plane catheter
•\-American Society of Anaesthesiologists Physiologic State (ASA\-PS) classification of I\-IV

•Exclusion Criteria:
•\-Patients who are unable or unwilling to offer verbal and / or written informed consent, either in person or through their proxy including those with limitations in communication where interpretation is unavailable
•\-Sternal or bilateral rib fractures
•\-Pre\-existing spinal deformity which precludes the insertion of a continuous regional analgesic catheter
•\-Local infection or trauma at proposed site of injection
•\-Known allergy to the local anaesthetic agents (ropivacaine and bupivacaine) used in the study.
•\-Those with significant trauma outside the chest wall e.g., acute spinal fractures with or without spinal cord injury; significant pelvic or long bone fractures, severe traumatic brain injury, or abdominal visceral injuries
•\-Patients on anticoagulants or anti\-platelets except Aspirin