Chest pain, unspecified. Multiple fractures of ribs
Conditions
Interventions
Intervention 1: blocking and catheter placement in mid portion of previously pointed ribs fracture were done .then from the same pointed site local anesthetic solution( Bupivacain 0.25%, 1.5 cc per se
Treatment - Drugs
Treatment - Other
blocking and catheter placement in mid portion of previously pointed ribs fracture were done .then from the same pointed site local anesthetic solution( Bupivacain 0.25%, 1.5 cc per segment per fractu
In second group of patient thoracic epidural such the other group was done. then after primary bolus dose was injected (bupivacain 0.25% , 1.5 ml per ribs fracture segments bolus then bupivacain 0.125
Sponsors
Tabriz University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: Including criteria: Traumatic patient with multiple ribs fracture greater than 2 ribs; Age after 18 y;Breathing sign due to trauma; G.C.S>=14 Exclusion criteria: Chest wall trauma having brain or cervical vertebral trauma; Patient with hemostatsis disorder; Sensitivity to anesthetic drug; Patient without satisfaction; Systemic sepsis and local infection; Patient under mechanical ventilation; Patient with abdominal trauma; Patient without cooperation; Bilateral ribs fracture; Past history of psychological and nervous system disease and chronic analgesic users.
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| PAIN. Timepoint: Daily for four days. Method of measurement: by visual analoge scale. | — |
Secondary
| Measure | Time frame |
|---|---|
| Multiple ribs fracture, pneumothorax, arterial blood gas level. Timepoint: daily for 4 days. Method of measurement: acordding to reported statistics.;Bleeding & hematoma. Timepoint: Daily for 4 days. Method of measurement: Based on clinical symptoms and visit of peocedure site.;Pneumothorax. Timepoint: Daily for 4 days. Method of measurement: Based on clinical symptoms and C.X.Ray if suspected. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public Contactmaryam hoseini
Tabriz University of Medical Sciences
Outcome results
None listed