Ultrasound Guided Serratus Anterior Plane Block Versus Thoracic Paravertebral Block in Emergency Department Rib Fracture
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Rib Fractures
- Sponsor
- Minia University
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- VAS score
- Last Updated
- 5 years ago
Overview
Brief Summary
Compare between serratus anterior plane block and thoracic Paravertebral block in analgesia for patients with multiple rib fractures
Detailed Description
The study will be conducted in a prospective randomised controlled. Patients will be allocated into three groups Control group: The patient will receive fentanyl patch 50 microgram TPVB group: The patient will receive thoracic vertebral plane lock 0.4ml/kg bupivacaine 0.1 25% will be administered. For continuous infusion catheter will be inserted . Then a rate of 7ml / hour to max 10 ml / hour of bupivacaine 0.0625% SAPB group,: Patient will receive serratus anterior plane block 0.4ml / kg bupivacaine 0.125% will be injected to open the space then a catheter will be advanced For continuous infusion of 0.0625 % bupivacaine at 7 ml / hour
Investigators
Ahmed Gamal Shehata
Assistant lecturer
Minia University
Eligibility Criteria
Inclusion Criteria
- •ASA 1_3 Age 18_60 Unilateral fracture ribs
Exclusion Criteria
- •Drug allergy Morbid obese Opioid dependence Patients refuse
Outcomes
Primary Outcomes
VAS score
Time Frame: 24 hour
Visual analogue pain score describe by the patient
Secondary Outcomes
- Total analgesic consumption(24 hour)