Surgical Stabilization of Rib Fractures While Awake or Under Appropriate Sedation by Paravertebral Block

Shanghai Jiao Tong University

Status: Completed

Conditions: Rib Fracture Multiple; Anesthesia, Local

Treatments: Procedure: internal fixation of mulitiple rib fracture

Study type: Interventional

Funder types: Other

Identifiers

NCT04536311

2020-036-(1)

Details and patient eligibility

About

Tracheal intubation and general anesthesia has been considered a safe and conventional routine methodology for thoracic surgery, include multiple rib fratcure. However,adverse effects such as sore throat, pain, hoarseness, and respiratory complications are common after that. In this study, we decide to perform surgical stabiliazation of rib fractures by paravertebral block surgical stabiliazation of rib fractures under awake or appropriate sedation without endotracheal intubation keeping spontaneous respiration to investigate its safety and feasibility.

Full description

Rib fracture is common in the world,especially in chest trauma. Conservative treatment is used to it for many years but the effect is not well because of continuous pain caused by the dislocation of broken rib. Surgical stabiliazation of rib fractures can relieve the pain rapidly and help patient recover to work early. This kind of surgery is constantly conducted with tracheal intubation and general anesthesia. However,adverse effects such as sore throat, pain, hoarseness, and respiratory complications are common after that. So we think perform surgical stabiliazation of rib fractures under awake or appropriate sedation without endotracheal intubation keeping spontaneous respiration to investigate its safety and feasibility.

Enrollment: 20 patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Simple rib fracutures patients
• No other truama
• Unilatieral rib fractures
• Total number of rib fractures is less than 5
• At least one rib dislocation
• 18-80 years old
• ASA grade I-II
• BMI<30
• Preoperative arterial partial pressure of oxygen > 60mmhg
• Partial pressure of carbon dioxide < 50mmhg

Exclusion criteria

• Difficult airway
• History of esophageal reflux
• Myasthenia gravis
• Coagulation disorders
• Gastrointestinal ulcer
• Gastrointestinal bleeding
• Anesthetic drugs allergy history
• Asthma
• Chronic obstructive pulmonary disease
• Pregnant women.

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

---

20 participants in 1 patient group

Paravertebral block in surgical stabilization of rib fractures under awake or appropriate sedation

Experimental group

Description:

patients receive internal fixation for multiple rib fractures using paravertebral nerve block anesthesia in awareness status and keep spontaneous breath

Treatment:

Procedure: internal fixation of mulitiple rib fracture