Status:

TERMINATED

Vital Capacity in Ultrasound Guided Serratus Plane Block in ED Patients With Multiple Rib Fractures

Lead Sponsor:

Antonios Likourezos

Conditions:

Pain

Eligibility:

All Genders

18-120 years

Phase:

PHASE4

Brief Summary

I. Background: Patients with multiple rib fractures are challenging from both pulmonary and analgesia perspectives. Adequate pain management is essential in prevention of complications secondary to d...

Detailed Description

STUDY DESIGN This is a single center prospective, randomized, blinded clinical trial with a convenience sample that will be conducted in the Emergency Department of an urban level I trauma center. A...

Eligibility Criteria

Inclusion

  • 18 years or older
  • Presumed/Clinically apparent 2 or more acute unilateral rib fractures between T3-T9
  • Pain Score 5 or greater

Exclusion

  • GCS\<13
  • Penetrating trauma
  • Pregnant
  • Unable to give consent due to dementia or altered mental status
  • Unable to perform spirometry
  • Requiring immediate surgical intervention
  • Known allergy to amide-type local anesthetics
  • Signs of infection or laceration at injection site
  • Systolic BP \<100 mmHg
  • History of chronic pain, chronic use of analgesics
  • History of substance abuse
  • Painful distracting injury (injury causing significant pain that distracts the patient from having reliable scoring of rib fracture pain, i.e. femur fracture, dislocated joint)
  • If patient received any other pain medication besides ketamine prior to the block
  • Only posterior rib fractures present
  • known allergy to acetaminophen
  • Known allergy to morphine sulfate

Key Trial Info

Start Date :

November 1 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

March 4 2024

Estimated Enrollment :

3 Patients enrolled

Trial Details

Trial ID

NCT04530149

Start Date

November 1 2021

End Date

March 4 2024

Last Update

June 11 2024

Active Locations (1)

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Maimonides Medical Center

Brooklyn, New York, United States, 11219