Ultrasound Guided Serratus Anterior Plane Block in ED Patients With Rib Fractures

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

EARLY_PHASE1

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-07-01

Study Completion Date

2025-10-31

Brief Summary

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The goal of this clinical trial is to test the effectiveness of the Serratus Anterior Plane Block in patients with rib fractures. The main questions it aims to answer are:

* Determine if UG-SAPB results in an improved pain, incentive spirometry, and cough ability (PIC) score when compared to usual care over the first five hours.
* Evaluate if UG-SAPB results in fewer opioid medications administered when compared to usual care over the first 24 hours.

Participants will undergo the Serratus Anterior Plane. Researchers will compare this to usual care to see if this intervention improves pulmonary function and reduces opioid requirements for ED patients with rib fractures.

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Detailed Description

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Conditions

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Rib Fractures Pain Acute Regional Anesthesia Opioid Use

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Research Assistants who collect the data will be blinded to which arm of the study the participants are in.

Study Groups

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Control

Usual care. No changes made or recommended to patients randomized to the control arm.

Group Type NO_INTERVENTION

No interventions assigned to this group

Intervention arm (Undergoes SAPB)

Patients randomized to this arm will receive the Serratus Anterior Plane block.

Group Type EXPERIMENTAL

Serratus Anterior Plane Block

Intervention Type PROCEDURE

Patients who undergo randomization to the intervention arm will undergo the Serratus Anterior Plane Block.

Ropivacaine injection

Intervention Type DRUG

For the Serratus Anterior Plane Block, Ropivacaine will be used as the anesthetic.

Interventions

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Serratus Anterior Plane Block

Patients who undergo randomization to the intervention arm will undergo the Serratus Anterior Plane Block.

Intervention Type PROCEDURE

Ropivacaine injection

For the Serratus Anterior Plane Block, Ropivacaine will be used as the anesthetic.

Intervention Type DRUG

Other Intervention Names

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Ropivacaine

Eligibility Criteria

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Inclusion Criteria

* Radiology confirmed anterior or lateral rib fractures either on X-ray or chest computed tomography CT
* pain score of 5/10.
* Patients must be able to verbalize how much pain they are having on an 11-point Numeric Rating Pain Scale
* perform an incentive spirometry and be able to cough on command

Exclusion Criteria

* isolated rib fractures that do not include ribs T3-T9
* penetrating trauma, pregnancy
* requiring immediate surgical or procedural intervention
* known allergy to amide-type local anesthetics
* have a painful distracting injury

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No