Comparing Continuous Erector Spinae and Edge of Laminar Blocks for Pain Relief and Breathing Improvement in Adults with Multiple Rib Fractures

What this Trial Is About

Researchers are studying patients with unilateral traumatic multiple rib fractures to compare two types of continuous nerve block techniques the erector spinae plane block and the edge of laminar block. These methods are being evaluated to see how well they control pain and affect diaphragmatic movement after injury. The study is a prospective randomized clinical trial sponsored by Tanta University, aiming to improve care for patients with multiple rib fractures. Participants will receive one of two treatments a continuous ipsilateral erector spinae plane block or a continuous ipsilateral edge of laminar block. Both involve placing a catheter to deliver local anesthetic near the ribs to provide ongoing pain relief. The treatments will be administered while patients are in the surgical intensive care unit shortly after their trauma. During the study, participants will be monitored for total morphine use over four days after treatment. Researchers will assess pain levels, diaphragmatic movement, lung function tests including forced vital capacity and forced expiratory volume, and any adverse events within the same period. This careful monitoring helps evaluate the effectiveness and safety of each block method over the initial recovery days.

Continuous Erector Spinae Block Versus Continuous Edge of Laminar Block on The Quality of Analgesia and Diaphragmatic Excursion in Patients With Multiple Rib Fractures