Thorax Traumas Clinical Trial
Official title:
Evaluation of Patient Analgesia After Bloc Serratus for the Management of Thoracic Trauma
Thorax traumas are very common in severe traumatology, including road accidents, representing
the second most frequent site (after head injury, according to the FIRST study). These
thoracic lesions are the cause of many complications (pneumothorax, hemothorax, lung
infections, atelectasis).
The national recommendations recommend the use of multi-modal analgesia with the use of
regional loco anaesthesia for pain management and prevention of respiratory complications,
including infectious complications. The loco-regional anaesthesia of choice is thoracic
epidural or paravertebral block, but these techniques are not without risks, and are
contraindicated in many situations (severe head trauma, patient under curative
anticoagulation, pelvic trauma...).
The anterior Serratus block appears to be a quality localoregional anaesthesia in thoracic
surgery, and a few cases in the literature have shown an interest in severe traumatology.
The investigators perform this anterior Serratus block almost systematically in patients with
thoracic trauma in the Hautepierre surgical intensive care unit.
n/a