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

C

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

Trial design

Primary purpose

Supportive Care

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

40 participants in 2 patient groups

Erector spinae plane catheter group in addition to Systemic Analgesia
Experimental group
Treatment:
Device: Erector spinae plane catheter group in addition to Systemic Analgesia
Systemic Analgesia Only Group
Active Comparator group
Treatment:
Drug: Systemic Analgesia Only Group

Trial contacts and locations

1

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Central trial contact

Chloé MOREAU

Data sourced from clinicaltrials.gov

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