Serratus anterior plane block versus rhomboid intercostal and subserratus block for continuous analgesia in rib fractures

Status

Active, not recruiting

Phases

Early Phase 1

Study type

Interventional

Source

PACTR

Registry ID

PACTR202207703483624

Enrollment

Registered

2022-07-18

Start date

2022-06-29

Completion date

Unknown

Last updated

2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Anaesthesia

Interventions

Serratus anterior plane block for continuous analgesia in rib fractures

Rhomboid intercostal and subserratus block for continuous analgesia in rib fractures

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Adult patients of both gender, aged between 18-60 years with isolated thoracic trauma leading to unilateral multiple rib fractures = 6 ribs and admitted to trauma intensive care unit at Mansoura University Emergency Hospital.

Exclusion criteria

Exclusion criteria: Patients with > 6 rib fractures, bilateral fractures, ?ail chest, intubated and sedated patient, associated intracranial hemorrhage which affects patient’s mental status, trachea, larynx and sternum fractures, polytrauma patients, hypersensitivity to bupivacaine, infection at the site of injection, bleeding disorders, hepatic, cardiac and renal failure and patients with body mass index >35.

Design outcomes

Primary

Measure	Time frame
Change in pain intensity measured by visual analogue score (VAS) after 24 hour of bupivacaine infusion.	—

Secondary

Measure	Time frame
- Change in pain intensity measured by visual analogue score after 2 hour, 48 hour, 72 hour and every 24 hour till the catheter removed - Intensive care unit (ICU) length of stay (LOS). - Need for respiratory support (non-invasive or invasive mechanical ventilation). - Development of pneumonia or respiratory failure. - Development of complications of the block (pneumothorax, hemothorax and local anesthetic toxicity). - In-hospital mortality. - Total pethidine consumption.	—

Measure

Time frame

- Change in pain intensity measured by visual analogue score after 2 hour, 48 hour, 72 hour and every 24 hour till the catheter removed - Intensive care unit (ICU) length of stay (LOS). - Need for respiratory support (non-invasive or invasive mechanical ventilation). - Development of pneumonia or respiratory failure. - Development of complications of the block (pneumothorax, hemothorax and local anesthetic toxicity). - In-hospital mortality. - Total pethidine consumption.

—

Countries

Egypt

Contacts

Public ContactMarwa Abdo

lecturer

marwabdo@gmail.com00201002477789

Outcome results

None listed

Source: PACTR (via WHO ICTRP) · Data processed: Aug 9, 2026