A study on nerve blocks versus intravenous analgesics for patients with closed chest trauma.

Analyzing the efficacy of chest block in comparison with intravenous analgesia for acute pain management in closed chest trauma with a Numeric rating scale (NRS) score of 7 or more, presenting to the Emergency department - A Prospective Pragmatic Interventional study. - CBT2(Chest Block – Thoracic Trauma) trial

Status

Active, not recruiting

Phases

Phase 3

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2024/04/065274

Enrollment

Registered

2024-04-05

Start date

Unknown

Completion date

Unknown

Last updated

2024-04-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: O- Medical and Surgical

Interventions

Intervention1: Ultrasound guided plane blocks: The erector spinae plane block or serratus anterior plane block under ultrasound guidance using 20-40 ml 0.2% Ropivacaine within one hour of diagnosis. C

Eligibility

Inclusion criteria

Inclusion criteria: All adult patients with blunt thoracic traumas with 2 or more radiologically confirmed rib fractures.

Exclusion criteria

Exclusion criteria: 1. Patient does not give consent. 2. Open chest wounds. 3. Polytraumatised patients 4. Patients who are haemodynamically unstable or require ICU care 5. Allergy or contraindications to NSAIDs/Paracetamol/Local anaesthetics 6. Contraindications to block (coagulopathy, overlying skin infection). 7. Pregnant women.

Design outcomes

Primary

Measure	Time frame
Reduction in pain scoreTimepoint: Reduction in pain score from 7 to less than 4, or by more than 50% from time of patient admission in the emergency department till discharge from emergency department, or till 12 hours in the ward.	—

Secondary

Measure	Time frame
1.Success rate of the block in reducing the pain score 2.Compraison of patient satisfaction. 3.Incidence of adverse effect on either side of the arm 4.Reduction in rescue analgesia Timepoint: 1.Success rate(50% reduction in score or absolute value less than 4)of the block. 2.Comparing patient satisfaction between 2 arms at the time of discharge or admission using study proforma 3.Incidence of adverse events such as allergic reaction, hypotension, nausea/vomiting, pneumo/hemothorax, hematoma & injection site infection. 4.Compare the time of resuce analgesia & the need of repeated analgesia from ED admission to ED discharge/ 12hrs in ward .	—

Measure

Time frame

1.Success rate of the block in reducing the pain score 2.Compraison of patient satisfaction. 3.Incidence of adverse effect on either side of the arm 4.Reduction in rescue analgesia Timepoint: 1.Success rate(50% reduction in score or absolute value less than 4)of the block. 2.Comparing patient satisfaction between 2 arms at the time of discharge or admission using study proforma 3.Incidence of adverse events such as allergic reaction, hypotension, nausea/vomiting, pneumo/hemothorax, hematoma & injection site infection. 4.Compare the time of resuce analgesia & the need of repeated analgesia from ED admission to ED discharge/ 12hrs in ward .

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Countries

India

Contacts

Public ContactSandeep Nathanael David

Christian Medical College and Hospital

sanada_124@yahoo.com8072149396

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026