Thoracic Blocks Versus Thoracic Epidural and Patient Controlled Anesthesia in Traumatic Rib Fract… (NCT01599403) | Clinical Trial Compass
CompletedNot Applicable
Thoracic Blocks Versus Thoracic Epidural and Patient Controlled Anesthesia in Traumatic Rib Fracture Patients
United States50 participantsStarted 2012-04
Plain-language summary
The primary objective of this study is to investigate whether continuous PVB is equal in efficacy to epidural anesthesia in terms of analgesia in patients with INR lower than 1.2, or is continuous ICNB equal in efficacy to PCA in terms of analgesia, if patients have INRs equal to or greater than 1.2.
Who can participate
Age range18 Years – 100 Years
SexALL
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Eligibility Criteria
A subject must meet the following criteria to take part in the study:
Inclusion Criteria
* Subjects 18 years of age and greater
* Inpatient on the BWH SICU, MICU, or hospital floor ward
* Non-intubated at the time of block placement
* Traumatic Rib Fractures three or greater
* Block able to be placed within 12-24 hours of presentation to the emergency room
* Ability to provide written informed consent.
* Compliance with all ASRA and BWH Regional Anesthesia in Anticoagulated Patient guidelines for coagulation status.
Exclusion Criteria:
* Subject is pregnant
* Subject not expected to survive 48 hours due to traumatic injuries
* Allergy to Ropivacaine or other local anesthetic
* Any significant concomitant injuries potentially confounding data acquisition (e.g., traumatic brain injury, long bone fractures, intra-abdominal injuries)
* Known allergy to lidocaine
* Inability to provide written, informed consent
* Known opioid medication dependence
* Non-compliance with ARSA and BWH Regional Anesthesia in Anticoagulated Patient Guidelines.
What they're measuring
1
Primary Outcome: Difference in Pain Scores at 48hrs