A study on nerve blocks versus intravenous analgesics for patients with closed chest trauma.
Phase 3
- Conditions
- Health Condition 1: O- Medical and Surgical
- Registration Number
- CTRI/2024/04/065274
- Lead Sponsor
- Christian Medical College Internal Fluid Research Grant
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Yet Recruiting
- Sex
- Not specified
- Target Recruitment
- 0
Inclusion Criteria
All adult patients with blunt thoracic traumas with 2 or more radiologically confirmed rib fractures.
Exclusion Criteria
1.Patient does not give consent.
2.Open chest wounds.
3.Polytraumatised patients
4.Patients who are haemodynamically unstable or require ICU care
5.Allergy or contraindications to NSAIDs/Paracetamol/Local anaesthetics
6.Contraindications to block (coagulopathy, overlying skin infection).
7.Pregnant women.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Reduction in pain scoreTimepoint: Reduction in pain score from 7 to less than 4, or by more than 50% from time of patient admission in the emergency department till discharge from emergency department, or till 12 hours in the ward.
- Secondary Outcome Measures
Name Time Method 1.Success rate of the block in reducing the pain score <br/ ><br>2.Compraison of patient satisfaction. <br/ ><br>3.Incidence of adverse effect on either side of the arm <br/ ><br>4.Reduction in rescue analgesia <br/ ><br>Timepoint: 1.Success rate(50% reduction in score or absolute value less than 4)of the block. <br/ ><br>2.Comparing patient satisfaction between 2 arms at the time of discharge or admission using study proforma <br/ ><br>3.Incidence of adverse events such as allergic reaction, hypotension, nausea/vomiting, pneumo/hemothorax, hematoma & injection site infection. <br/ ><br>4.Compare the time of resuce analgesia & the need of repeated analgesia from ED admission to ED discharge/ 12hrs in ward . <br/ ><br>