Analgesia, Rib Fractures
Conditions
Keywords
Fracture rib, TPVB, SAPB
Brief summary
Compare between serratus anterior plane block and thoracic Paravertebral block in analgesia for patients with multiple rib fractures
Detailed description
The study will be conducted in a prospective randomised controlled. Patients will be allocated into three groups Control group: The patient will receive fentanyl patch 50 microgram TPVB group: The patient will receive thoracic vertebral plane lock 0.4ml/kg bupivacaine 0.1 25% will be administered. For continuous infusion catheter will be inserted . Then a rate of 7ml / hour to max 10 ml / hour of bupivacaine 0.0625% SAPB group,: Patient will receive serratus anterior plane block 0.4ml / kg bupivacaine 0.125% will be injected to open the space then a catheter will be advanced For continuous infusion of 0.0625 % bupivacaine at 7 ml / hour
Interventions
PROCEDURESerratus anterior plane block
Injection of bupivacaine between serratus anterior plane and latissimus dorsi muscle using ultrasound
PROCEDUREThoracic Paravertebral block
Injection of bupivacaine in the thoracic Paravertebral space using ultrasound
PROCEDUREControl
Place a fentanyl patch 50 microgram
Sponsors
Minia University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* ASA 1\_3 Age 18\_60 Unilateral fracture ribs
Exclusion criteria
* Drug allergy Morbid obese Opioid dependence Patients refuse
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| VAS score | 24 hour | Visual analogue pain score describe by the patient |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Total analgesic consumption | 24 hour | Total opioid consume by the patient in 24 hour |
Countries
Egypt
Contacts
Primary ContactAhmed G Shehata, Master
Backup ContactOmyma M Shehata, MD
Outcome results
None listed