Serratus Anterior Plane Block , Paravertebral Block and Quality of Analgesia in Patients With Blunt Chest Trauma

NCT03890757 | Unknown

• 1 other identifier: Beni-Suef University Hospital
• Study Type: observational
• Target: 24
• Locations: 1 country
• Sites: 1

Brief Summary

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 .

Conditions

Analgesia

Outcome Measures

Primary Outcomes (1)

• 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

  pain will be assessed by the visual analogue scale(VAS)

  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

Secondary Outcomes (1)

• total dose of rescue analgesia

  the observation will be for 24 hours

Study Arms (1)

serratus anteriorblock

Serratus plane block will be performed with the patient in the lateral position and the arm abducted. Using a high-frequency linear ultrasound probe

Other: ultrasound guided paravertebral or serratus anterior block

Interventions

ultrasound guided paravertebral or serratus anterior block OTHER

Patients groups will be as follow: Group (I): Serratus plane block will be performed with the patient in the lateral position and the arm abducted. Using a high-frequency linear ultrasound probe ,Group (II): thoracic paravertebral block will be performed in the sitting position. The spinal level chosen for needle insertion will be two segments below the upper most fractured rib or midway between the upper most and lowest fractured rib, 2-2.5 cm distance from the midline in the same injury site

serratus anteriorblock

Eligibility Criteria

• Age: 20 Years - 70 Years
• Gender Eligibility Details: adult malesandfemales
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

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.

You may qualify if:

• ASA physical status status I-II -- Patients suffering from blunt chest trauma with unilateral multiple rib fractures.

You may not qualify if:

• 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

Sponsors & Collaborators

• Samaa Rashwan: lead

Study Sites (1)

Beni-Suef University Hospital

Banī Suwayf, Egypt

RECRUITING

MeSH Terms

Conditions

Agnosia

Condition Hierarchy (Ancestors)

Perceptual Disorders; Neurobehavioral Manifestations; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Samaa Rashwan, MD

  Assisstant proffesor of anesthesia

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Samaa A Rashwan, MD

CONTACT

020120159125; samakassemrashwan@gmail.com

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Target Duration: 2 Days
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Samaa Abou Alkassem Rashwan

Study Record Dates

• First Submitted: March 17, 2019
• First Posted: March 26, 2019
• Study Start: May 1, 2019
• Primary Completion: December 1, 2019
• Study Completion: December 1, 2019
• Last Updated: March 26, 2019

Record last verified: 2019-03

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)