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Serratus Anterior Plane Block , Paravertebral Block and Quality of Analgesia in Patients With Blunt Chest Trauma

Analgesia Clinical Trial

Official title:
Efficacy of Serratus Anterior Plane Block Versus Thoracic Paravertebral Block in Patients With Unilateral Multiple Rib Fractures: Comparative Randomized Study

Clinical Trial 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 .

Clinical Trial Description

Thoracic paravertebral block and other regional techniques like intrapleural block and intercostal nerve blocks have variable success and high potential for local anaesthetic toxicity. Serratus anterior plane block is relatively novel technique that is less invasive, easier to perform and improve pulmonary function that reduces the incidence of pneumonia, number of ventilator days, and mortality, especially those sustaining five or more rib fractures ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT03890757
Study type Observational [Patient Registry]
Source Beni-Suef University
Contact Samaa A Rashwan, MD
Phone 020120159125
Email samakassemrashwan@gmail.com
Status Recruiting
Phase
Start date May 2019
Completion date December 2019
View Details
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