Pain relief in multiple fractured ribs by erector spinae plane block and serratus anterior plane block

Not yet recruiting

• Conditions: Patients with unilateral 3 or more than 3 fractured ribs with severe pain which is not controlled by routine analgesic drugs

• Registration Number: CTRI/2018/07/014784
• Lead Sponsor: Dr Ashok Jadon

Brief Summary

Multiple fractured ribs (MFRs) pain is debilitating and difficult to manage. Opioids were considered mainstay but results in severe side effects.  Multi-modal pain management is a current standard practice in which erector spinae plane block (ESPB) and serratus anterior plane block (SAPB)  have shown effective role. However, we do not know that which is more efficacious as there is no comparison of these two techniques. Therefore, we wish to conduct a pilot study to compare the relative effectiveness of each technique and safety. We have a plan to do 10 cases with each technique and compare them. All patients will receive  ultrasound guided block (ESPB=10 patients, SAPB=10 patients) with 20 ml 0.25% bupivacaine  followed by an infusion of 0.1% bupivacaine + fentanyl 1mic/ml @ 6ml/hr through volumeric pump. PIC (Pain -inspiratory capacity-cough) will be assessed and will be compared. The target will be to keep PIC score more than 8/10.The amount of rescue medication will recorded and compared. Any complication during block or during treatment period will also be recorded and compared.

Detailed Description

Not available

Study Timeline

• Study Start: 2018-07-16
• Last Update Posted: 2019-04-25

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 20

Inclusion Criteria

• 1.Unilateral 3 or more than 3 fractured ribs with pain 2.
• Routine oral and systemic drugs for pain management is insufficient 3.
• No contraindication for catheter based regional analgesia.

Exclusion Criteria

• Bilateral fractured ribs 2.
• Severe chest injury which requires ventilator support 3.
• patients on anticoagulants 4.
• Allergic to local anesthetics 5.Local site infection.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Number of patients achieved PIC score of 9/10	30 minutes, 60 minutes, 120 minutes.Then 8 AM and 8 PM every day for 5 days

Secondary Outcome Measures

Name	Time	Method
1. Amount of Rescue medicine used.	2. Complications during block.

Trial Locations

Locations (1)

Tata Motors Hospital; 🇮🇳 Singhbhum, JHARKHAND, India

Tata Motors Hospital

🇮🇳Singhbhum, JHARKHAND, India

Dr Ashok Jadon

Principal investigator

9234554341

ashok.jadon@tatamotors.com