Actively Recruiting
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
Led by Tanta University · Updated on 2025-07-20
70
Participants Needed
1
Research Sites
N/A
Total Duration
On this page
AI-Summary
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.
CONDITIONS
Brief Title
Continuous Erector Spinae Block Versus Continuous Edge of Laminar Block on The Quality of Analgesia and Diaphragmatic Excursion in Patients With Multiple Rib Fractures
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Aged between 21 and 65 years.
- Both sexes.
- With unilateral traumatic multiple rib fractures (3 or more ribs).
- Admitted to the surgical intensive care unit within the first day of trauma.
You will not qualify if you...
- Patient refusal.
- Body mass index of 35 or higher (kg/m2).
- Bleeding and coagulation disorders.
- Known allergy to the study drugs.
- Vertebral deformity.
- Respiratory, cardiac, renal, or hepatic dysfunction.
- Major trauma involving other body parts like head, spine, pelvis, or abdominal organs.
- Mental or cognitive dysfunction.
- History of chronic analgesic or drug abuse.
- Local infection at the block site.
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 4 days postoperatively
Participants receive either a continuous ipsilateral erector spinae plane block or a continuous ipsilateral edge of laminar block to provide analgesia for multiple rib fractures.
Daily visits for 4 days postoperatively
Trial Site Locations
Total: 1 location
1
Tanta University
Tanta, El-Gharbia, Egypt, 31527
Actively Recruiting
Research Team
H
Heba A Muhammed, Master
How is the study designed?
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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