Erector Spinae Plane Block for Acute Pain Management in the Emergency Department
NCT03590782 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 10
Last updated 2020-10-12
Summary
Rib fractures are a common cause of respiratory distress in trauma patients as poor pain control and subsequent hypoventilation commonly results in lung tissue collapse (atelectasis). The current mainstay of treatment in rib fractures are oral and intravenous opioids however these are often ineffective and can also precipitate hypoventilation. Recently there has been interest in regional anaesthesia techniques for managing painful conditions of the thorax as a way to avoid pain and opioid related hypoventilation. These techniques include ultrasound guided nerve blocks such as the intercostal, paravertebral and serratus anterior blocks. The use of these techniques is however limited by minimal dermatomal coverage as well as a high incidence of complications The erector spinae plane block is a new, very promising technique which offers a safe means of providing anaesthesia to a large part of the hemithorax with a single injection. The proposed study will seek to establish whether the erector spinae plane block can be successfully used in the emergency department for pain control in patients with acute rib fractures.
Conditions
- Rib Fractures
- Nerve Block
Interventions
- OTHER
-
Erector Spinae Block
An ultrasound guided erector spinae block will be performed.
Sponsors & Collaborators
-
Dr. Ian Surdhar
collaborator UNKNOWN -
University of Manitoba
lead OTHER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-03-01
- Primary Completion
- 2020-09-30
- Completion
- 2020-09-30
Countries
- Canada
Study Locations
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