Multiple rib fractures
Conditions
Interventions
Experimental group:Receive RISS block analgesia
Control group:Receive continuous infusion of the traditional intravenous analgesic drug butorphanol, and 50mg of flurbiprofen axetil every 12 hours. The dosage of the analgesic drugs will be adjusted
Sponsors
Foshan Hospital of Traditional Chinese Medicine
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. ASA classification levels I-IV; 2. Age over 18 years old, body mass index (BMI) ranging from 18 to 28 kg/m^2; 3. Complete clinical data of the patient; 4. No infection at the puncture site before treatment; 5. Good patient compliance, and the patient's family members have signed the relevant informed consent form.
Exclusion criteria
Exclusion criteria: 1. Diabetic patients; 2. Patients with a history of chronic lung disease or history of lung surgery before the trauma; 3. Patients receiving tracheal intubation and ventilator-assisted ventilation; 4. Patients with poor consciousness and inability to cooperate; 5. Patients with severe thoracic deformity or severe lung disease in the past; 6. Patients known to be allergic to anesthesia-related drugs; 7. Patients with opioid abuse; 8. Patients with chronic chest wall pain in the past; 9. Patients with severe bleeding or coagulation disorders; 10. Patients with severe systemic diseases; 11. Patients with a history of mental illness.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Modified LUS scoring system;Oxygenation index (PaO2/FiO2) at T1, T2, and T3;Incidence of new-onset pulmonary complications within 7 days after T0, including emergency tracheal intubation, type I or II respiratory failure, pneumothorax, pleural effusion, acute respiratory distress syndrome, various upper airway obstructions, and pulmonary infections.; | — |
Secondary
| Measure | Time frame |
|---|---|
| Cumulative consumption of analgesic medication;Resting and coughing VAS scores at each time point;ICU length of stay;Difference in LUS scores between T1 and T0 time points; | — |
Countries
China
Contacts
Public ContactRuimin Luo
Foshan Hospital of Traditional Chinese Medicine
Outcome results
None listed