Pain Management
Conditions
Keywords
Erector spinae plane block, ESPB, Pain reduction
Brief summary
Interventional study to use erector spinae plane block (ESPB) on diagnoses of posterior or lateral rib fractures, vertebral fractures, pancreatitis, pancreatic cancer, renal colic, and back pain for multimodal pain therapy to determine its assistance with pain relief as well as the patient's use of opiates after block completion
Detailed description
Patients with the listed diagnoses will be offered and then consented for an ESPB under ultrasound guidance. They will rate their pain before and 30 minutes after the procedure using the ordinal categorical data on a numeric pain scale. Total patient opiate use will be gathered up to 8 hours after block completion.
Interventions
DRUGBupivacaine Injection
Bucivacaine will be administered intramuscularly according to package insert directions after first numbing the area with lidocaine subcutaneously
Sponsors
The University of Texas Health Science Center at San Antonio
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Single group open label assignment
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Posterior/lateral rib or vertebral fractures * Pancreatitis or pancreatic cancer * Renal colic * Back pain
Exclusion criteria
* Unstable vitals * Infection or open wound over insertion site * Prior allergic reaction to local anesthetic * Pregnant females * Patients \<18 years old * Altered mentation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain Scale Rating | Baseline to study procedure end (approximately 30 minutes) | Change in pain scale rating assessed by the participants on a scale from 0-10 with 0 indicating no pain and 10 indicating the most severe pain. |
Countries
United States
Outcome results
None listed