Multiple rib fractures are a common type of injury in clinical practice, typically caused by severe external forces such as traffic accidents or falls from heights. Due to the disruption of rib continuity, the stability of the patient's chest wall is significantly affected, which may lead to a series of respiratory and circulatory complications. In cases where patients suffer from severe fracture
Conditions
Interventions
RISS group:Rhomboid - intercostal muscle and lower serratus anterior block
RISS Block Sequential Method Research Group:Rhomboid - intercostal muscle and lower serratus anterior block
PSIP Block Sequential Method Research Group:parascapular sub-iliocostalis plane block
Sponsors
Ningbo No.6 Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: 1.Fully understand and voluntarily participate in this study; 2.Between the ages of 18 and 65 years; 3.American Society of Anesthesiologists (ASA) Classification I to III; 4.Body mass index (BMI) between 18.5 and 30 kg/m^2;
Exclusion criteria
Exclusion criteria: 1.Participate in other clinical intervention trials; 2.Contraindications related to nerve blocks or medications in this study; 3.Communication or cognitive impairment; 4.Mental illness diagnosis; 5.Severe multiple trauma cases;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Visual Analog Scale for Pain;Blocking plane; | — |
Secondary
| Measure | Time frame |
|---|---|
| Respiratory function;Riker Sedation-Agitation Scale;Quality of Recovery-15 (QoR-15) score;Postoperative analgesic medication usage;Mean arterial pressure;Adverse reactions;Sufentanil dosage;PACU observation time;SF-36 Quality of Life Score;Learner's learning effectiveness indicators;Postoperative nausea and vomiting severity;Incidence of chronic pain at 6 months postoperatively; | — |
Countries
China
Contacts
Public ContactLong Zhang
Ningbo No.6 Hospital
Outcome results
None listed