Health Condition 1: S224- Multiple fractures of ribs
Conditions
Interventions
Intervention1: NA: NA
Control Intervention1: NA: NA
Sponsors
JSS Medical College
Eligibility
Inclusion criteria
Inclusion criteria: All patients presenting to emergency medicine department with � Age >18 years. � Patients with unilateral, multiple (2 or more) rib fractures and moderate to severe pain (NRS 4 to 10) measured on a self-reported NRS. � Normal lower extremity neurovascular examinations. � Having undergone an USG guided Erector Spinae Plane Block.
Exclusion criteria
Exclusion criteria: ââ?¬Â¢ In-patients shifted from other hospital for elective procedure and continued care. ââ?¬Â¢ Patients who received opioid analgesia within 30 mins prior to presenting to ED. ââ?¬Â¢ Patients with altered pain perception ââ?¬â?? unconscious patients, severe head injury. ââ?¬Â¢ Known international normalized ratio (INR) > 3.0, prior history of bleeding diathesis. ââ?¬Â¢ Known hypersensitivity to local anaesthetics or Bupivacaine. ââ?¬Â¢ Pregnant patients (positive urine or serum B-HCG).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. To determine the effectiveness of an Ultrasound (USG) guided Erector Spinae Plane Block (ESPB) in ameliorating pain and improving lung function in patients presenting to the ED with multiple rib fractures.Timepoint: 48 Hours | — |
Secondary
| Measure | Time frame |
|---|---|
| 2. To assess the safety and the feasibility of the ESPB in the ED.Timepoint: 48 hours | — |
Countries
India
Contacts
Public ContactDr Abhijith Sivasankar
JSS Medical College, JSS Academy of Higher Education and Research
Outcome results
None listed