Continuous erector spinae versus edge of laminar block for pain relief and breathing after multiple rib fractures

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a prospective, randomized clinical comparison of two continuous regional anesthesia techniques for adults with unilateral traumatic multiple rib fractures. Patients are randomized to receive either a continuous erector spinae plane catheter or a continuous edge-of-lamina catheter placed under ultrasound guidance, with ongoing local anesthetic infusion. The trial measures quality of analgesia and diaphragmatic excursion as primary outcomes, alongside routine safety monitoring. Eligible participants are adults admitted to the surgical ICU within the first day after injury and without major extra-thoracic trauma or contraindications to regional blocks.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Aged between 21 and 65 years.
* Both sexes.
* With unilateral traumatic multiple fracture ribs (≥ 3), admitted to the surgical intensive care unit within the first day of trauma.

Exclusion Criteria:

* Patients' rejection.
* Body mass index ≥ 35 (kg/m2).
* Bleeding and Coagulation disorders.
* Known hypersensitivity to the study drugs.
* Vertebral deformity.
* Respiratory, cardiac, renal or hepatic dysfunction.
* Patients with major trauma involving extra-thoracic structures (e.g., head, spine, pelvis, and abdominal visceral injuries).
* Mental or cognitive dysfunction,
* History of chronic analgesic or drug abuse.
* Local infection at the site of the block.

Where it's running

• Tanta University
  Tanta, El-Gharbia, Egypt Recruiting

Study contacts

• Study coordinator: Heba A Muhammed, Master
• Email: heba.abdelhamid@med.tanta.edu.eg
• Phone: 00201032901343

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.