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Compare between serratus anterior plane block and thoracic Paravertebral block in analgesia for patients with multiple rib fractures
The study will be conducted in a prospective randomised controlled. Patients will be allocated into three groups
Control group:
The patient will receive fentanyl patch 50 microgram
TPVB group:
The patient will receive thoracic vertebral plane lock 0.4ml/kg bupivacaine 0.1 25% will be administered. For continuous infusion catheter will be inserted . Then a rate of 7ml / hour to max 10 ml / hour of bupivacaine 0.0625%
SAPB group,:
Patient will receive serratus anterior plane block 0.4ml / kg bupivacaine 0.125% will be injected to open the space then a catheter will be advanced For continuous infusion of 0.0625 % bupivacaine at 7 ml / hour
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Serratus anterior plane block | Experimental | 20 patients will receive SAP block with 0.4 ml / kg bupivacaine 0.125% then continuous infusion through a catheter at rate of 7 ml / hour to max 10 ml / hour of bupivacaine 0.0625% |
|
| Thoracic Paravertebral block | Active Comparator | 20 patients will receive TPVB 0.4ml / kg bupivacaine 0.125% then continuous infusion through a catheter at rate of 7 ml / hour to max 10 ml / hour of bupivacaine 0.0625% |
|
| Control group | Placebo Comparator | 20 patients will receive Fentanyl patch 50 microgram |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Serratus anterior plane block | Procedure | Injection of bupivacaine between serratus anterior plane and latissimus dorsi muscle using ultrasound |
|
| Measure | Description | Time Frame |
|---|---|---|
| VAS score | Visual analogue pain score describe by the patient | 24 hour |
| Measure | Description | Time Frame |
|---|---|---|
| Total analgesic consumption | Total opioid consume by the patient in 24 hour | 24 hour |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ahmed G Shehata, Master | Contact | 1067622270 | 0020 | ahmedgamalicu@gmail.com |
| Omyma M Shehata, MD | Contact | 1061762894 | 0020 | Omyma.shehata44@yahoo.com |
| Name | Affiliation | Role |
|---|---|---|
| Amany K Aboelhassan | Minia University Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Minia university hospital | Recruiting | Minya | 61511 | Egypt |
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| ID | Term |
|---|---|
| D012253 | Rib Fractures |
| D000377 | Agnosia |
| ID | Term |
|---|---|
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |
| D013898 | Thoracic Injuries |
| D010468 | Perceptual Disorders |
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| Thoracic Paravertebral block | Procedure | Injection of bupivacaine in the thoracic Paravertebral space using ultrasound |
|
| Control | Procedure | Place a fentanyl patch 50 microgram |
|
| D019954 |
| Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |