Serratus Plane Block for Rib Fractures

Azienda USL Reggio Emilia - IRCCS

Status

Withdrawn

Conditions

Chest Trauma

Chest Pain

Treatments

Procedure: Serratus plane block

Study type

Interventional

Funder types

Other

Identifiers

NCT03664973

Serratus GC

Details and patient eligibility

About

Patients with ipsilateral multiple rib fractures will be randomized to receive either a single-shot ultrasound-guided serratus plane block, or a continuous serratus plane block within 24h from the chest trauma. Primary outcome is the difference in forced respiratory volume (FEV1) at 72h.

Full description

Patients admitted in emergency department with a chest trauma and ipsilateral multiple rib fractures, will be randomized as described above. All patients will receive the serratus block with a ropivacaine 0.37% solution 20 ml. Then, they will randomized to receive either a peripheral catheter placed above the 5th rib on the middle axillary line, or nothing. In all patients postoperative analgesia also include Paracetamol 1g IV each 6h and a patient controlled analgesia (PCA) of morphine set out as follow: bolus 1 mg, loch out 15 min, max 4 boluses each hour. In all patients an arterial blood sample for gas analysis and a FEV1 will be achieved before the block, after 1 hour and at 72h.

Sex

All

Ages

18 to 90 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

2 o more ipsilateral rib fractures
Trauma within 24h from hospital admission
Informed consent

Exclusion criteria

Chest drain
head trauma
bilateral rib fractures
Intensive care admission

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

0 participants in 2 patient groups

continuous

Experimental group

Description:

continuous local anesthetic infusion (ropivacaine 0.2%)on the serratus plane for at least 72h adds to a Single-shot serratus plane block with ropivacaine 0.37% solution 20 ml.

Treatment:

Procedure: Serratus plane block

single-shot

Active Comparator group

Description:

Single-shot serratus plane block with ropivacaine 0.37% solution 20 ml

Treatment:

Procedure: Serratus plane block