Comparing two pain management techniques for multiple rib fractures
Impact of Ultrasound- Guided Continuous Retro Laminar Block Versus Continuous Erector Spinae Plane Block on Incentive Spirometry Volumes and Pain Scores in Multiple Rib Fractures
NA · Tanta University · NCT06088836
This study is testing two new ways to manage pain in adults with multiple rib fractures to see which one helps them feel better and breathe easier.
Quick facts
| Phase | NA |
|---|---|
| Study type | Interventional |
| Enrollment | 60 (estimated) |
| Ages | 18 Years to 65 Years |
| Sex | All |
| Sponsor | Tanta University (other) |
| Locations | 1 site (Tanta, El-Gharbia) |
| Trial ID | NCT06088836 on ClinicalTrials.gov |
What this trial studies
This study aims to compare the effectiveness of ultrasound-guided continuous Retrolaminar block and continuous Erector Spinae Plane block in managing pain and improving incentive spirometry volume in patients with multiple rib fractures. Both techniques are newer approaches to thoracic pain management that may offer advantages over traditional methods like thoracic epidural analgesia and thoracic paravertebral block, which can be technically challenging and carry risks. The study will involve patients aged 18 to 65 with unilateral multiple traumatic rib fractures, assessing their pain relief and respiratory function post-intervention.
Who should consider this trial
Good fit: Ideal candidates for this study are adults aged 18 to 65 with unilateral multiple traumatic rib fractures.
Not a fit: Patients with significant trauma outside the chest wall or those with contraindications for regional blocks will not benefit from this study.
Why it matters
Potential benefit: If successful, this study could provide a safer and more effective pain management option for patients with multiple rib fractures.
How similar studies have performed: Other studies have shown promising results with similar approaches, indicating potential for success in this area.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age from 18 to 65 years old. * Both sexes. * Patients with unilateral multiple traumatic rib fractures (≥ 3 ribs). Exclusion Criteria: * 1st ken refusal. * Patients with any contraindication for regional block as: * Bleeding disorders. * Infection at the injection site. * Patients with hemodynamic instability. * Patients with known hypersensitivity to the study drugs * Unconscious patients * Patients with significant trauma outside the chest wall e.g., acute spine or pelvic fracture, severe traumatic brain or spinal cord injury, or abdominal visceral injuries * Patients with significant lung contusions, pneumothorax, flail chest * Chronic opioid users. * Uncooperative patients and patients with psychiatric illness
Where this trial is running
Tanta, El-Gharbia
- Tanta University — Tanta, El-Gharbia, Egypt (RECRUITING)
Study contacts
- Study coordinator: Hossam I Ibrahim, Master
- Email: hossam.hesham@med.tanta.edu.eg
- Phone: 00201093230200
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions: Retrolaminar Block, Erector Spinae Plane Block, Spirometry, Pain, Multiple Rib Fractures