Actively Recruiting

Phase Not Applicable
Age: 21Years - 60Years
All Genders
NCT07493473

Parascapular Sub Iliocostalis Plane Block Versus Thoracic Paravertebral Plane Block for Traumatic Multiple Rib Fractures

Led by Zagazig University · Updated on 2026-05-13

36

Participants Needed

1

Research Sites

65 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Pain control of rib fractures is essential for not only primary pain relief but also preventing secondary complications such as atelectasis or pneumonia which increase the hospital stay, as well as the transition to chronic pain. The cornerstones of analgesic management are oral and intravenous medications such as paracetamol, nonsteroidal anti-inflammatory drugs (NSAIDs) and opioids as well as regional block techniques as paravertebral block and thoracic epidural. To avoid opioid as well as regional block related side effects such as pneumothorax and hemodynamic instability, previous studies showed that superficial chest wall block such as thoracic erector spinae plane block and serratus anterior plane block had shown a promising success in management of such pain with few side effects. In an effort to reduce the pain score, hospital stay and improve the patient's capability of physiotherapy this study compares continuous block of parascapular sub-iliocostalis plane block versus continuous thoracic paravertebral block for analgesia in patients with traumatic multiple rib fractures.

CONDITIONS

Official Title

Parascapular Sub Iliocostalis Plane Block Versus Thoracic Paravertebral Plane Block for Traumatic Multiple Rib Fractures

Who Can Participate

Age: 21Years - 60Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patient written informed consent.
  • ASA physical status I to III.
  • Age between 21 and 60 years old.
  • Both genders.
  • Body mass index less than 35 Kg/M2.
  • Patient has accepted mental state.
  • Unilateral multiple rib fractures with 2 or more fractured ribs.
Not Eligible

You will not qualify if you...

  • Any trauma interfering with patient positioning for block.
  • Need for mechanical ventilation before or during study.
  • Associated head trauma.
  • Hemodynamic instability requiring inotropic support.
  • Abbreviated injury scale in extremity greater than 2.
  • Pathological coagulopathy.
  • Infection at the injection site.
  • Disturbed consciousness.
  • Allergy to local anesthetics or study drugs.
  • Pregnancy.

AI-Screening

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Trial Site Locations

Total: 1 location

1

Zagazig university

Zagazig, Sharqia Province, Egypt, 44111

Actively Recruiting

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Research Team

R

R A Kamel, MD

CONTACT

D

D A Abo El Naga, MSC

CONTACT

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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