Efficacy and Safety of Ultrasound guided Erector Spinae Plane block in patients with rib fractures presenting to the Emergency Department
Not Applicable
Completed
- Conditions
- Health Condition 1: O- Medical and SurgicalHealth Condition 2: S224- Multiple fractures of ribs
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 46
Inclusion Criteria
All adult patients > 18 years of age with rib fractures and Numerical rating score of greater than 4.
Exclusion Criteria
1.Known allergy to amide-type local anaesthetics, NSAIDS, Tramadol and fentanyl.
2.Penetrating thoracic trauma.
3.Pregnancy
4.Institutionalized individuals and prisoners
5.Unable to give consent due to dementia or altered mental status
6.Requiring immediate surgical intervention
7.Signs of infection or laceration at injection site
8.Systolic BP <100 mmHg
9.History of chronic pain, chronic use of analgesics
10.History of substance abuse
11.Presence of subcutaneous emphysema at the block site.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method To compare the NRS, in resting position and during deep inspiration, of patients post ultrasound guided Erector spinae block with sham procedure.Timepoint: At 0min, 30 min, 1 hour, 2 hours, 6 hours and 12 hours intervals post procedure
- Secondary Outcome Measures
Name Time Method To quantify the total amount of rescue analgesia in both the groupsTimepoint: During 12hrs post procedure;To study the complications of USG guided ESP blocks and compare it with sham procedure.Timepoint: During 12hrs post procedure