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NCT04916691 Clinical Trial

Ultrasound-guided Erector Spinae Plane Blocks

Rib Fractures Clinical Trial

Official title:
Erector Spinae Plane Block for Rib Fractures: A Pilot Study

Clinical Trial Details — Status: Completed

Administrative data
NCT number NCT04916691
Other study ID # 19-007896
Secondary ID
Status Completed
Phase Early Phase 1
First received
Last updated
Start date May 15, 2021
Est. completion date August 22, 2022

Study information
Verified date June 2023
Source Mayo Clinic
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of this study is to determine the feasibility of using the ultrasound-guided erector spinae plane blocks to provide additional pain relief to patients with rib fractures in the Emergency Department (ED) and Intensive Care Unit (ICU).

Recruitment information / eligibility
Status Completed
Enrollment 40
Est. completion date August 22, 2022
Est. primary completion date August 22, 2022
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Patients 18 years old or older. - Patients with one or more acute traumatic rib fractures. Exclusion Criteria: - Inability to position appropriately. - Unconscious or heavily sedated. - Patients who are critically ill such that care should not be delayed for regional anesthesia. - Patients under the age of 18 years old. - Vulnerable populations including prison inmates and pregnant patients. - Overlying skin infection, wound, or dressing/equipment (i.e., Chest tube). - Inability to visualize target anatomy or by ultrasound or anatomy prohibitive for other reasons to perform procedure successfully. - Known or documented allergy to ropivacaine or other amide local anesthetic.

Study Design

Related Conditions & MeSH terms

Intervention

Procedure:
• EPSB for rib fractures
EPSB for rib fractures
Drug:
• Ropivacaine
Standard of care weight-based optimal Ropivacaine dosing for ESPB

Locations
Country Name City State
United States Mayo Clinic in Rochester Rochester Minnesota

Sponsors (1)
Lead Sponsor Collaborator
Mayo Clinic

Country where clinical trial is conducted

United States, 

Outcome
Type Measure Description Time frame Safety issue
Primary Procedural success rate Measuring the Number of successful ESPB procedures performed in the ED and ICU 12 months
See also
  Status Clinical Trial Phase
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Completed NCT02432456 - Ketamine Infusion Therapy for the Management of Acute Pain in Adult Rib Fracture Patients Phase 4
Recruiting NCT04413799 - PVB vs Ketamine/Lidocaine in Rib Fracture Patients Early Phase 1
Completed NCT05770232 - Retrospectively Analyze the Risk Factors of VTE in 5774 Patients With Thoracic Trauma From 33 Hospitals in China, and Established a Risk Prediction Model
Completed NCT03305666 - Trial of Injected Liposomal Bupivacaine vs Bupivacaine Infusion After Surgical Stabilization of Rib Fractures Phase 4
Completed NCT03768193 - Deep Serratus Anterior Plane Block vs Surgically-placed Paravertebral Block for VATS Surgery N/A
Recruiting NCT05865327 - UltrasouNd-guided Percutaneous Intercostal Nerve Cryoneurolysis for Analgesia Following Traumatic Rib Fracture N/A
Recruiting NCT04100512 - Oscillating Positive Expiratory Pressure (OPEP) Therapy in Trauma Patients With Multiple Rib Fractures N/A
Completed NCT02608541 - Sheffield Multiple Rib Fractures Study:
Completed NCT04168996 - Individualized Discharge Planning in Patients With Rib Fracture N/A
Recruiting NCT05714631 - Lidocaine Patches in Elderly Patients With Traumatic Rib Fractures Phase 4
Recruiting NCT03619785 - US-guided SAPB for Rib Fractures in the ED Phase 4
Suspended NCT03711812 - Serratus Anterior Block and Catheter Use in Rib Fractures in the Emergency Department N/A
Completed NCT05321121 - Dexmedotomidine for Acute Pain Control in Patients With Multiple Rib FracturesRandomized Controlled Trial Phase 4
Completed NCT04863807 - A Retrospective Review of Rib Fracture Pain Management at a London Major Trauma Centre
Withdrawn NCT05069961 - Non-Inferiority Study of Erector Spinae Plane Block Compared to Thoracic Epidural in Pain Management of Rib Fractures N/A
Recruiting NCT03919916 - Serratus Plane Block With Parenteral Opioid Analgesia Versus Patient Controlled Analgesia in Rib Fractures N/A
Terminated NCT03805360 - The Erector Spinae Plane Block and Its Effect on Respiratory Status and Pain Management in Rib Fracture Patients Phase 1
Terminated NCT04558281 - Continuous Erector Spinae Plane Blocks for Rib Fractures Phase 4
Completed NCT02132416 - Operative Treatment of Unstable Thoracic Cage Injuries and Chest Wall Deformity in Trauma N/A

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