Health Condition 1: S272- Traumatic hemopneumothorax
Conditions
Interventions
Intervention1: INTRAPLEURAL BLOCK: Patients receive 25cc of 0.25% bupivacaine Q8 hourly for 48 hours through the Intercostal Drain Tube plus 2ml normal saline slow iv and 100 ml normal saline iv bolus
Sponsors
Jawaharlal Institute of Postgraduate Medical Education and Research
Eligibility
Inclusion criteria
Inclusion criteria: All patients more than 18 years of age with intercostal drain for chest trauma
Exclusion criteria
Exclusion criteria: Patients with preexisting lung pathology Other preexisting chronic painful conditions (E.g. malignancy, chronic pancreatitis, etc.) Patients with GCS less than 15 Contraindications to intrapleural block â?? Allergy to local anaesthetic â?? Extensive block site infection â?? Emphysema â?? Bullous lung disease â?? Recent pleural disease or pleurodesis â?? Empyema â?? Coagulopathy Contralateral phrenic nerve palsy Patients not willing for incentive spirometry Patients requiring ventilatory support Hemodynamically unstable patients
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| PAIN RELIEF AS PER NUMERICAL RATING SCALE. 0 ON NRS FOR NO PAIN TO 10 FOR MAXIMUM POSSIBLE PAIN, AS REPORTED BY THE PARTICIPANT TO THE INVESTIGATORTimepoint: AT BASELINE; FOLLOWING PLACEMENT OF ICD; FOLLOWING ADMINISTRATION OF BLOCK; AND 8HOURLY FROM THEN FOR A PERIOD OF 48 HOURS (AT 8, 16, 24, 32, 40 AND 48 HOURS) | — |
Secondary
| Measure | Time frame |
|---|---|
| BREATH HOLDING TIME IN SECONDS, ASKING PATIENT TO HOLD BREATH AT FULL INSPIRATION FOR THE LONGEST DURATION POSSIBLE.Timepoint: BEFORE ICD PLACEMENT; FOLLOWING PLACEMENT OF ICD; FOLLOWING ADMINISTRATION OF BLOCK; AND 8HOURLY FROM THEN FOR A PERIOD OF 48 HOURS (AT 8, 16, 24, 32, 40 AND 48 HOURS);OTHER COMPLICATIONS LIKE PNEUMONIA, ARDS, WORSENING OF PNEUMOTHORAX.Timepoint: BEFORE ICD PLACEMENT; FOLLOWING PLACEMENT OF ICD; FOLLOWING ADMINISTRATION OF BLOCK; AND 8HOURLY FROM THEN FOR A PERIOD OF 48 HOURS (AT 8, 16, 24, 32, 40 AND 48 HOURS);PULMONARY FUNCTION IN TERMS OF MAXIMUM INSPIRATORY VOLUME AS MEASURED WITH INCENTIVE SPIROMETER IN mlTimepoint: BEFORE ICD PLACEMENT; FOLLOWING PLACEMENT OF ICD; FOLLOWING ADMINISTRATION OF BLOCK; AND 8HOURLY FROM THEN FOR A PERIOD OF 48 HOURS (AT 8, 16, 24, 32, 40 AND 48 HOURS);TIME TO FIRST ANALGESIA FROM THE TIME OF ADMINISTRATION OF DRUG THROUGH THE ICD, IN HOURS.Timepoint: BEFORE ICD PLACEMENT; FOLLOWING PLACEMENT OF ICD; FOLLOWING ADMINISTRATION OF BLOCK; AND 8HOURLY FROM THEN FOR A PERIOD OF 48 HOURS (AT 8, 16, 24, 32, 40 AND 48 HOURS) | — |
Countries
India
Contacts
Public ContactMohammed Najeebuddin
JAWAHARLAL INSTITUTE OF POSTGRADUATE MEDICAL EDUCATION AND RESEARCH
Outcome results
None listed