Rib fracture. Multiple fractures of ribs
Conditions
Interventions
Intervention 1: Intervention group: Group E: Erector spinae block group.Patients in Group E received intravenous 0.5% bupivacaine with 2% lignocaine diluted in distilled water to make a total volume o
Sponsors
CMH Gujranwala
Eligibility
Sex/Gender
All
Age
25 Years to 55 Years
Inclusion criteria
Inclusion criteria: Included all male and female patients between ages 25-55 years presenting in the operating room for pain relief with regional block with multiple rib fractures (>2 ribs) Not requiring surgical intervention for repair Under observation in the high dependency unit
Exclusion criteria
Exclusion criteria: Patients with metastatic disease Major cardiac or respiratory disease, low ejection fraction or post chemotherapy Allergy to lignocaine or bupivacaine Patients with advanced polytrauma causing hemodynamic instability Patients with oxygen saturation less than 92% after supplemental oxygen Patients with flail chest or pneumothorax Patients unwilling to be included in the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to first dose of rescue analgesia. Timepoint: 24 hours after intervention. Method of measurement: Pain score above 5 on the standard visual analog scale.;Total dose of analgesia given. Timepoint: In 24 hours after intervention. Method of measurement: Dose charting of intravenous nalbuphine once pain scores above 5 after intervention.;Patient satisfaction. Timepoint: 24 hours after intervention. Method of measurement: Standard 7 point Likert scale. | — |
Secondary
| Measure | Time frame |
|---|---|
| Nausea/Vomiting. Timepoint: In 24 hours after intervention. Method of measurement: Frequency of episodes by the resident anesthetist on duty in HDU.;Hypotension. Timepoint: In 24 hours after intervention. Method of measurement: Systolic BP <80 and Diastolic <60 mmHg monitored and charted hourly.;Post-procedure sedation. Timepoint: In 24 hours after intervention. Method of measurement: Digital sphygmomanometer. | — |
Countries
Pakistan
Contacts
Public ContactTaimur Afridi
Combined Military Hospital Gujranwala
Outcome results
None listed