ESP VERSUS INTERCOSTAL NERVE BLOCK FOR PAIN IN RIB FRACTURES

Phase 1

• Conditions: S22.4; Rib fracture.; Multiple fractures of ribs

• Registration Number: IRCT20230822059225N1
• Lead Sponsor: CMH Gujranwala

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Last Update Posted: 16 October 2023

Recruitment & Eligibility

• Status: Complete
• Sex: All
• Target Recruitment: 380

Inclusion Criteria

Included all male and female patients between ages 25-55 years presenting in the operating room for pain relief with regional block with multiple rib fractures (>2 ribs)
Not requiring surgical intervention for repair
Under observation in the high dependency unit

Exclusion Criteria

Patients with metastatic disease
Major cardiac or respiratory disease, low ejection fraction or post chemotherapy
Allergy to lignocaine or bupivacaine
Patients with advanced polytrauma causing hemodynamic instability
Patients with oxygen saturation less than 92% after supplemental oxygen
Patients with flail chest or pneumothorax
Patients unwilling to be included in the study

Study & Design

• Study Type: interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Time to first dose of rescue analgesia. Timepoint: 24 hours after intervention. Method of measurement: Pain score above 5 on the standard visual analog scale.;Total dose of analgesia given. Timepoint: In 24 hours after intervention. Method of measurement: Dose charting of intravenous nalbuphine once pain scores above 5 after intervention.;Patient satisfaction. Timepoint: 24 hours after intervention. Method of measurement: Standard 7 point Likert scale.

Secondary Outcome Measures

Name	Time	Method
ausea/Vomiting. Timepoint: In 24 hours after intervention. Method of measurement: Frequency of episodes by the resident anesthetist on duty in HDU.;Hypotension. Timepoint: In 24 hours after intervention. Method of measurement: Systolic BP <80 and Diastolic <60 mmHg monitored and charted hourly.;Post-procedure sedation. Timepoint: In 24 hours after intervention. Method of measurement: Digital sphygmomanometer.