Mid-point to Pleura Transverse Process Block Versus Thoracic Intervertebral Foramen Block

San Salvatore Hospital of L'Aquila

Status: Completed

Conditions: Pain, Acute; Rib Fractures; Polytrauma

Treatments: Procedure: Thoracic intervertebral foramen block; Procedure: Mid-point to pleura transverse process block

Study type: Interventional

Funder types: Other

Identifiers

NCT05348330

10814/21

Details and patient eligibility

About

The analgesic effect of continuous mid-point to pleura transverse process block compared to the analgesic effect of continuous thoracic intervertebral foramen block, in patients with multiple rib fractures.

Full description

The analgesic effect of continuous mid-point to pleura transverse process block will be compared to the analgesic effect of continuous thoracic intervertebral foramen block, in patients with multiple rib fractures, by using the numeric rating scale (NRS) for pain.

Enrollment: 100 patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• ribs fracture after polytrauma

Exclusion criteria

• pregnancy
• allergy to anesthetics
• head trauma
• history of neurological impairment (primary or secondary)
• history of cancer
• history of chronic obstructive pulmonary disease
• infections of skin close to the block site
• systemic infections

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Quadruple Blind

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100 participants in 2 patient groups

Thoracic intervertebral foramen block

Experimental group

Description:

Under ultrasound guidance the continuous thoracic intervertebral foramen block, will be provided to achieve analgesia in polytraumatic patients with rib fractures. A set for continuous peripheral nerve block will be used. The infusion rate of analgesic solution (levobupivacaine 0.25% combined with dexamethasone 16 mg) will be titrated to patient perceived pain.

Treatment:

Procedure: Thoracic intervertebral foramen block

Mid-point to pleura transverse process block

Active Comparator group

Description:

Under ultrasound guidance the continuous mid-point to pleura transverse process block, will be provided to achieve analgesia in polytraumatic patients with rib fractures. A set for continuous peripheral nerve block will be used. The infusion rate of analgesic solution (levobupivacaine 0.25% combined with dexamethasone 16 mg) will be titrated to patient perceived pain.

Treatment:

Procedure: Mid-point to pleura transverse process block