Actively Recruiting

Phase 4
Age: 18Years +
All Genders
ID06347874

Comparison of Cryoablation of Intercostal Nerves to Erector Spinae Plane Catheters in Patients With Rib Fractures

Led by University of Minnesota · Updated on 2026-02-17

48

Participants Needed

1

Research Sites

4 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating pain control methods in patients with rib fractures by comparing cryoablation of the intercostal nerves to the use of an erector spinae plane (ESP) catheter. This Phase 4 study aims to find out which method provides better pain relief seven days after the procedure and assesses other important recovery outcomes up to 30 days post-procedure. Participants with rib fractures are randomly assigned to one of two groups: one group receives cryoablation involving an injection of lidocaine and ultrasound-guided freezing of the intercostal nerves, while the other group receives an ESP catheter with an initial local anesthetic bolus followed by a continuous infusion. Both treatments are delivered under ultrasound guidance to manage pain. During the study, researchers will monitor patients' maximum pain levels on the seventh day after treatment and track opioid use, functional pain scores, hospital stay length, time to first walking, ICU admissions, mechanical ventilation need, and lung function over 30 days. Participants will be closely observed to assess these outcomes, providing a comprehensive view of recovery and pain management effectiveness.

CONDITIONS

Brief Title

Cryo Rib Fracture Study

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients who are over 18 years old
  • Patients who have more than one rib fractured
Not Eligible

You will not qualify if you...

  • Patients who have an exclusion to regional anesthesia
  • Patients who are pregnant via self-report or pregnancy test if applicable
  • Non-English speakers
  • Patients who have cold urticaria
  • Patients with bilateral rib fractures
  • Patients currently intubated

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Up to 30 days post procedure

Participants receive either cryoablation of intercostal nerves or an erector spinae plane catheter for pain management of rib fractures.

Multiple visits during hospital stay and follow-up assessments up to 30 days

Follow-up

Duration - Up to 30 days post procedure

Participants are monitored for pain scores, opioid use, functional pain scores, pulmonary function, and recovery outcomes after treatment.

Follow-up visits up to 30 days after procedure

Trial Site Locations

Total: 1 location

1

University of Minnesota

Minneapolis, Minnesota, United States, 55414

Actively Recruiting

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Research Team

C

Candace Nelson

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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