Efficacy of Serratus Anterior Plane Block Versus Thoracic Paravertebral Block in Patients With Unilateral Multiple Rib Fractures: Comparative Randomized Study
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 24
- 试验地点
- 1
- 主要终点
- The primary outcome of this study was to compare ultrasound guided serratus anterior plane block and ultrasound guided paravertebral block as regard the efficacy of analgesia in patients with blunt chest trauma with unilateral multiple rib fractures
研究概览
简要总结
Pain associated with rib movement cause inability to cough and breathe deeply that leads to reduction in the tidal volume and predisposes to significant atelectasis, sputum retention, pneumonia and a reduction in functional residual capacity .These factors in turn lead to decreased lung compliance, ventilation perfusion mismatch, hypoxemia and respiratory distress. Therefore, effective pain relief remains the cornerstone of management to prevent serious respiratory complications .
详细描述
Thoracic paravertebral block and other regional techniques like intrapleural block and intercostal nerve blocks have variable success and high potential for local anaesthetic toxicity. Serratus anterior plane block is relatively novel technique that is less invasive, easier to perform and improve pulmonary function that reduces the incidence of pneumonia, number of ventilator days, and mortality, especially those sustaining five or more rib fractures
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 年龄范围
- 20 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients aging from 20 to 70 years old.
- •ASA physical status status I-II -- Patients suffering from blunt chest trauma with unilateral multiple rib fractures.
排除标准
- •Spinal cord injury.
- •Epidural or spinal cord haematoma.
- •Thoracic vertebral body fracture.
- •Spinal injury awaiting assessment.
- •Coagulopathy (platelets <50×109 litre-1, INR>1.5).
- •Local infection or sepsis.
- •Allergy to local anaesthetic.
- •Inability to position patient due to associated injuries.
- •Severe traumatic brain injury.
- •Unstable lumbar or cervical spinal fractures.
- •Hypotension.
- •Hypovolaemia
结局指标
主要结局
The primary outcome of this study was to compare ultrasound guided serratus anterior plane block and ultrasound guided paravertebral block as regard the efficacy of analgesia in patients with blunt chest trauma with unilateral multiple rib fractures
时间窗: VAS will be recorded before performing the technique , this will be the base line record, then it will be compared by the value of VAS 30 minutes after performing the technique and the value of VAS at 1, 3, 6,12 and 24 hours
pain will be assessed by the visual analogue scale(VAS)
次要结局
- total dose of rescue analgesia(the observation will be for 24 hours)
研究者
Samaa Rashwan
Samaa Abou Alkassem Rashwan
Beni-Suef University