Is Intertransverse plane block better than Erector spinae plane block in rib fractures

Comparative Efficacy of Ultrasound guided intertransverse plane ITP block with Erector Spinae Plane ESP block on pain scores in unilateral multiple rib fractures A prospective randomized control trial - NIL

Status

Active, not recruiting

Phases

Phase 3

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2025/02/081066

Enrollment

Registered

2025-02-21

Start date

Unknown

Completion date

Unknown

Last updated

2025-03-03

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

Conditions

Health Condition 1: S224- Multiple fractures of ribs

Interventions

Intervention1: InterTransverese process plane block: Patients with rib fractures presenting to the triage and complaining of pain will be given block. Patients will be placed in lateral position. The

Eligibility

Inclusion criteria

Inclusion criteria: 1. Patients with unilateral multiple(more than one) rib fractures 2. Patients with Visual analog scale value more than 4

Exclusion criteria

Exclusion criteria: 1. Allergy to local anaesthetic 2. Bleeding disorders 3. Localised infections 4. Neurological disorders 5. Respiratory / cardiac disease 6. Patients not giving consent 7. Patients with poly trauma (cardio thoracic/ CNS)

Design outcomes

Primary

Measure	Time frame
To compare the Efficacy of block as assessed by Visual Analog Scale(VAS) between the Erector spinae plane block and Intertransverse process plane block Timepoint: Baseline (0 hrs), 1 hour,2 hours,6 hours,12 hours,24 hours and 48 hours	—

Secondary

Measure	Time frame
Diaphragmatic excursion as assessed using M-Mode in Ultrasonography between the groupsTimepoint: baseline(0 hours),6 hrs,24 hrs and 48 hrs post block;the total dose of rescue analgesia injection required to achieve adequate analgesia in the first 48 hours post block between two groupsTimepoint: rescue analgesia - tramadol 1mg/kg; maximum dose 3mg/kg over 24 hours. adequate analgesia - VAS less than 4;Patient satisfaction score as assessed by Likert’s scaleTimepoint: Likert scale assessed 48 hours post block;Blood Pressure, Pulse Rate, Respiratory rate, SpO2Timepoint: 0 hrs,6 hrs,12 hrs,24 hrs and 48 hrs post block;Number of balls lifted in Incentive spirometryTimepoint: Baseline (0 hrs),6 hrs,24 hrs and 48 hrs post block	—

Measure

Time frame

Diaphragmatic excursion as assessed using M-Mode in Ultrasonography between the groupsTimepoint: baseline(0 hours),6 hrs,24 hrs and 48 hrs post block;the total dose of rescue analgesia injection required to achieve adequate analgesia in the first 48 hours post block between two groupsTimepoint: rescue analgesia - tramadol 1mg/kg; maximum dose 3mg/kg over 24 hours. adequate analgesia - VAS less than 4;Patient satisfaction score as assessed by Likert’s scaleTimepoint: Likert scale assessed 48 hours post block;Blood Pressure, Pulse Rate, Respiratory rate, SpO2Timepoint: 0 hrs,6 hrs,12 hrs,24 hrs and 48 hrs post block;Number of balls lifted in Incentive spirometryTimepoint: Baseline (0 hrs),6 hrs,24 hrs and 48 hrs post block

—

Countries

India

Contacts

Public ContactDr Gautham R

Institute Of Medical Sciences, Banaras Hindu University

amritar@bhu.ac.in7379140545

Outcome results

None listed

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