Continuous Erector Spinae Block Versus Continuous Edge of Laminar Block on The Quality of Analgesia and Diaphragmatic Excursion in Patients With Multiple Rib Fractures
The Effect of Continuous Erector Spinae Block Versus Continuous Edge of Laminar Block on The Quality of Analgesia and Diaphragmatic Excursion in Patients With Multiple Rib Fractures. A Prospective Randomized Trail.
Tanta University
70 participants
Nov 1, 2024
INTERVENTIONAL
Conditions
Summary
This prospective randomized clinical trial aims to compare the effect of continuous erector spinae plane block versus continuous edge of laminar block on the quality of analgesia and diaphragmatic excursion in patients with unilateral traumatic multiple rib fractures.
Eligibility
Inclusion Criteria3
- Aged between 21 and 65 years.
- Both sexes.
- With unilateral traumatic multiple fracture ribs (≥ 3), admitted to the surgical intensive care unit within the first day of trauma.
Exclusion Criteria10
- Patients' rejection.
- Body mass index ≥ 35 (kg/m2).
- Bleeding and Coagulation disorders.
- Known hypersensitivity to the study drugs.
- Vertebral deformity.
- Respiratory, cardiac, renal or hepatic dysfunction.
- Patients with major trauma involving extra-thoracic structures (e.g., head, spine, pelvis, and abdominal visceral injuries).
- Mental or cognitive dysfunction,
- History of chronic analgesic or drug abuse.
- Local infection at the site of the block.
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Interventions
Patients will receive continuous ipsilateral erector spinae plane block.
Patients will receive continuous ipsilateral edge of laminar block.
Locations(1)
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NCT07069101