Erector Spinae Regional Anesthesia for Pain Control in the Emergency Department
Overview
- Phase
- Early Phase 1
- Intervention
- Bupivacaine Injection
- Conditions
- Pain Management
- Sponsor
- The University of Texas Health Science Center at San Antonio
- Enrollment
- 15
- Locations
- 3
- Primary Endpoint
- Pain Scale Rating
- Status
- Completed
- Last Updated
- 8 months ago
Overview
Brief Summary
Interventional study to use erector spinae plane block (ESPB) on diagnoses of posterior or lateral rib fractures, vertebral fractures, pancreatitis, pancreatic cancer, renal colic, and back pain for multimodal pain therapy to determine its assistance with pain relief as well as the patient's use of opiates after block completion
Detailed Description
Patients with the listed diagnoses will be offered and then consented for an ESPB under ultrasound guidance. They will rate their pain before and 30 minutes after the procedure using the ordinal categorical data on a numeric pain scale. Total patient opiate use will be gathered up to 8 hours after block completion.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Posterior/lateral rib or vertebral fractures
- •Pancreatitis or pancreatic cancer
- •Renal colic
- •Back pain
Exclusion Criteria
- •Unstable vitals
- •Infection or open wound over insertion site
- •Prior allergic reaction to local anesthetic
- •Pregnant females
- •Patients \<18 years old
- •Altered mentation
Arms & Interventions
Erector Spinae Plane Block (ESP) administration
Patients with the listed diagnoses will be offered and then consented for an ESPB under ultrasound guidance.
Intervention: Bupivacaine Injection
Outcomes
Primary Outcomes
Pain Scale Rating
Time Frame: Baseline to study procedure end (approximately 30 minutes)
Change in pain scale rating assessed by the participants on a scale from 0-10 with 0 indicating no pain and 10 indicating the most severe pain.