Serratus Anterior Plane Block , Paravertebral Block and Quality of Analgesia in Patients With Blunt Chest Trauma
NCT03890757 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 24
Last updated 2019-03-26
Summary
Pain associated with rib movement cause inability to cough and breathe deeply that leads to reduction in the tidal volume and predisposes to significant atelectasis, sputum retention, pneumonia and a reduction in functional residual capacity .These factors in turn lead to decreased lung compliance, ventilation perfusion mismatch, hypoxemia and respiratory distress. Therefore, effective pain relief remains the cornerstone of management to prevent serious respiratory complications .
Conditions
- Analgesia
Interventions
- OTHER
-
ultrasound guided paravertebral or serratus anterior block
Patients groups will be as follow: Group (I): Serratus plane block will be performed with the patient in the lateral position and the arm abducted. Using a high-frequency linear ultrasound probe ,Group (II): thoracic paravertebral block will be performed in the sitting position. The spinal level chosen for needle insertion will be two segments below the upper most fractured rib or midway between the upper most and lowest fractured rib, 2-2.5 cm distance from the midline in the same injury site
Sponsors & Collaborators
-
Samaa Rashwan
lead OTHER
Principal Investigators
-
Samaa Rashwan, MD · Assisstant proffesor of anesthesia
Eligibility
- Min Age
- 20 Years
- Max Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-05-31
- Primary Completion
- 2019-12-31
- Completion
- 2019-12-31
Countries
- Egypt
Study Locations
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