Serratus Anterior Plane Block Versus Thoracic Paravertebral Block.

Minia University

Status: Unknown

Conditions: Analgesia; Rib Fractures

Treatments: Procedure: Control; Procedure: Serratus anterior plane block; Procedure: Thoracic Paravertebral block

Study type: Interventional

Funder types: Other

Identifiers

NCT04554186

112-11/2018

Details and patient eligibility

About

Compare between serratus anterior plane block and thoracic Paravertebral block in analgesia for patients with multiple rib fractures

Full description

The study will be conducted in a prospective randomised controlled. Patients will be allocated into three groups

Control group:

The patient will receive fentanyl patch 50 microgram

TPVB group:

The patient will receive thoracic vertebral plane lock 0.4ml/kg bupivacaine 0.1 25% will be administered. For continuous infusion catheter will be inserted . Then a rate of 7ml / hour to max 10 ml / hour of bupivacaine 0.0625%

SAPB group,:

Patient will receive serratus anterior plane block 0.4ml / kg bupivacaine 0.125% will be injected to open the space then a catheter will be advanced For continuous infusion of 0.0625 % bupivacaine at 7 ml / hour

Enrollment: 60 estimated patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• ASA 1_3 Age 18_60 Unilateral fracture ribs

Exclusion criteria

• Drug allergy Morbid obese Opioid dependence Patients refuse

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

60 participants in 3 patient groups, including a placebo group

Serratus anterior plane block

Experimental group

Description:

20 patients will receive SAP block with 0.4 ml / kg bupivacaine 0.125% then continuous infusion through a catheter at rate of 7 ml / hour to max 10 ml / hour of bupivacaine 0.0625%

Treatment:

Procedure: Serratus anterior plane block

Thoracic Paravertebral block

Active Comparator group

Description:

20 patients will receive TPVB 0.4ml / kg bupivacaine 0.125% then continuous infusion through a catheter at rate of 7 ml / hour to max 10 ml / hour of bupivacaine 0.0625%

Treatment:

Procedure: Thoracic Paravertebral block

Control group

Placebo Comparator group

Description:

20 patients will receive Fentanyl patch 50 microgram

Treatment:

Procedure: Control