Impact of Loco-regional Analgesia Following Placement of Erector Spinae Plane Catheter in Addition to Systemic Analgesia in Patients With Thoracic Trauma (ERECTRAUTHO)

Centre Hospitalier Departemental Vendee

Status

Enrolling

Conditions

Trauma Abdomen

Treatments

Drug: Systemic Analgesia Only Group

Device: Erector spinae plane catheter group in addition to Systemic Analgesia

Study type

Interventional

Funder types

Other

Identifiers

NCT05288985

CHD21_0043

Details and patient eligibility

About

The management of analgesia is the key issue in the management of a thoracic trauma patient to prevent respiratory complications.

A multimodal approach is recommended but the question of the most suitable loco-regional analgesia technique remains. It must combine effectiveness and simplicity with the least risk to the patient. Today, epidural analgesia is the technique of choice, but it has certain disadvantages: difficulties in performing it at the thoracic level, undesirable effects, complications, and numerous contraindications.

The investigator propose to carry out a single-centre, prospective, randomised, controlled pilot study evaluating the impact of loco-regional analgesia following the placement of erector spinae plane catheter in addition to systemic analgesia in patients with unilateral thoracic trauma.

The aim is to demonstrate the effectiveness of this technique, which has fewer disadvantages than epidural analgesia. The interest of this study is thus to decrease the respiratory morbidity of thoracic trauma patients by avoiding a maximum of complications.

Enrollment

40 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Age ≥ 18 years
Unibilateral chest trauma with fracture > 2 ribs on one side
Admission to Intensive Care Medicine
Non-intubated patient, able to respond to a pain scale score and perform a vital capacity
Numerical Scale > 3 on forced inspiration despite use of systemic analgesics
CV ≤ 80% theoretical at inclusion
Time < 24 hours from admission to the service to inclusion
Time < 48h between trauma and inclusion
Patient affiliated to the social security system or entitled to it
Patient able to understand the protocol, having agreed to participate in the study and having given express oral consent

Exclusion criteria

Intubated, ventilated patient
Indication for laparotomy or thoracotomy
Spinal cord injury
Severe head injury
Bilateral thoracic trauma
Patient included in a category 1 clinical interventional study involving analgesic treatment
Patients under legal protection or deprived of liberty
Pregnant or breastfeeding women, or women with childbearing potential without effective contraception
Refusal to participate
Unable to understand the protocol and its requirements and/or unable to give express oral consent