Study of Pain Relief Using Serratus Plane Block Compared to Lidocaine for Pleural Drainage in Intensive Care Unit Adults

What this Trial Is About

This research aims to evaluate the use of a new type of local anesthesia called Serratus plane block to manage acute pain during pleural drainage in patients in the intensive care unit ICU. Pleural drainage is often painful, and effective pain control is important to help patients recover faster and reduce hospital stays. The study compares Serratus plane block with traditional local anesthesia using Lidocaine in ICU patients who require pleural drainage and are not intubated. Participants will be randomly assigned to receive either a local infiltration of Lidocaine or an ultrasound-guided Serratus plane block with Ropivacaine and an intravenous dose of Dexamethasone to extend pain relief. The Serratus plane block involves a single injection near the chest muscles under ultrasound guidance, while the Lidocaine group will receive local infiltration in the drainage area. The study is conducted in the ICU and includes patients who are conscious and breathing on their own. During the study, researchers will measure acute pain intensity at several points at the start of the procedure, during rest and expiration at the end of drainage, and at 1, 6, and 24 hours afterward. Participants will be closely monitored for pain levels and any reactions to the treatments. The total duration of participation depends on these assessments, which focus on improving pain management during the pleural drainage process in ICU patients.

Evaluation of the Analgesia by Serratus Plane Block During Pleural Drainage in Intensive Care Unit.