Paravertebral vs. Erector Spinae Blocks for lung function in those with rib fractures

Not Applicable

• Conditions: rib fractures; Lung Function; pain; Injuries and Accidents - Fractures; Anaesthesiology - Pain management; Respiratory - Other respiratory disorders / diseases

• Registration Number: ACTRN12620001192976
• Lead Sponsor: Middlemore Hospital

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2020-11-10
• Last Update Posted: 16 November 2020

Recruitment & Eligibility

• Status: ot yet recruiting
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

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

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

Study & Design

• Study Type: Interventional
• Study Design: Not specified