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) The block will be performed by a se
tissue expansion is checked by ultrasound in the time of injection. Intervention 2: Control group: Intercostal nerve block will be performed under the real time vision by the ultrasound device (Mindra
this procedure is repeated for 2 ribs upper and 2 ribs lower than the first site with 3-4 ml of 1% Lidocaine.
Sponsors
Kerman University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: ?All adult patients with thoracic trauma initial pain score over 5 using numeric pain scale (0-10)
Exclusion criteria
Exclusion criteria: Distracting injuries Altered mental status Any contraindications to Lidocaine Need for tube thoracostomy or thoracic surgery Impaired pain perception (Neuropathies, etc.) Large painful area (which can not be managed using intercostal nerve block) Patient refusal to participate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain score (using numeric rating scale) 20 minutes following the procedures. Timepoint: Twenty minutes following the procedures. Method of measurement: Asking the patient.;Pain score minutes following the procedures. Timepoint: Sixty minutes following the procedures. Method of measurement: Asking the patient.;Total fentanyl dose administered. Timepoint: Six hours following admission. Method of measurement: Physician order and Nurse report. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactAmirhossein Mirafzal
Kerman University of Medical Sciences
Outcome results
None listed