Unspecified injury of thorax (chest trauma). unspecified injury of thorax
Conditions
Interventions
Intervention 1: Intervention group: Erector spinae fascial plain block will be performed under the real time vision by the ultrasound device (Mindray, 2012, China) and after proper sterile preparation
tissue expansion is checked by ultrasound in the time of injection. Intervention 2: Control group: Intravenous fentanyl (Caspiantamin, Iran) will be administered by slow injection (during 2 minutes) u
Sponsors
Kerman University of Medical Sciences
Eligibility
Sex/Gender
All
Age
16 Years to No maximum
Inclusion criteria
Inclusion criteria: Patients over 16 years of age presenting to the emergency department with chest trauma initial pain score over 5 (from 10)
Exclusion criteria
Exclusion criteria: presence of distracting injuries impaired consciousness hypersensitivity to lidocaine or fentanyl presence of coagulopathy presence of any sensory impairment like peripheral neuropathy receiving pain killers before enrollment those who are not willing to participate or to continue their cooperation need for surgical intervention through the chest wall (including tube thoracostomy)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain score. Timepoint: 20 minutes and 1 hour after injection or block. Method of measurement: asking the patient by numeric rating scale. | — |
Secondary
| Measure | Time frame |
|---|---|
| Total dose of intravenous fentanyl administered to achieve adequate analgesia. Timepoint: The first 6 hours of admission in the emergency department. Method of measurement: recording by the investigator.;Adverse reactions of the intervention(s). Timepoint: at the discharge time. Method of measurement: assessment by the investigator. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactAmirhossein Mirafzal
Kerman University of Medical Sciences
Outcome results
None listed