Health Condition 1: null- Unilateral multiple rib fractures
Conditions
Interventions
Intervention1: Paravertebral ropivacaine with fentanyl: A bolus dose of ropivacaine 0.5% 0.3 ml/kg bolus followed by continuous infusion of ropivacaine 0.2% + adrenaline 5 µg/ml + fentanyl 2 µg/ml a
Sponsors
University College of Medical Sciences and Guru Teg Bahadur Hospital
Dr AK Sethi
Eligibility
Inclusion criteria
Inclusion criteria: Patients having three or more unilateral fractured ribs
Exclusion criteria
Exclusion criteria: • Unconscious patients • Patients with unstable cardiac status or severely altered mental status • Known liver/kidney disease • Known allergy to local anaesthetic drugs • Infection at site of needle insertion • Pre-existing spinal deformity • Patients having significant trauma outside chest wall, e.g. acute spine or pelvic fracture, severe traumatic brain or spinal cord injury or abdominal visceral injuries
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rescue analgesic (morphine) requirementTimepoint: Throughout study period till VAS score at rest and on coughing was not more than 10 to 15 mm for more than 8 hours | — |
Secondary
| Measure | Time frame |
|---|---|
| â?¢ VAS pain scores at rest and on coughing â?¢ Respiratory rate â?¢ Peak expiratory flow rate â?¢ Arterial oxygen saturation (SpO2) â?¢ PaO2/FiO2 ratio Timepoint: Before administration of block, 30 min after block, every 6 hours on 1st day and then every 8 hours 2nd day onwards | — |
Countries
India
Contacts
Public ContactDr Medha Mohta
University College of Medical Sciences and Guru Teg Bahadur Hospital
Outcome results
None listed