Ultrasound- Guided Continuous Retro Laminar Block Versus Continuous Erector Spinae Plane Block in Multiple Rib Fractures
Egypt60 participantsStarted 2023-10-18
Plain-language summary
The aim of this study is to compare the incentive spirometry volume and analgesic efficacy of ultrasound guided continuous Retrolaminar block and continuous Erector spinae plain block in patients with multiple rib fractures.
Who can participate
Age range18 Years – 65 Years
SexALL
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Inclusion Criteria:
* Age from 18 to 65 years old.
* Both sexes.
* Patients with unilateral multiple traumatic rib fractures (≥ 3 ribs).
Exclusion Criteria:
* 1st ken refusal.
* Patients with any contraindication for regional block as:
* Bleeding disorders.
* Infection at the injection site.
* Patients with hemodynamic instability.
* Patients with known hypersensitivity to the study drugs
* Unconscious patients
* Patients with significant trauma outside the chest wall e.g., acute spine or pelvic fracture, severe traumatic brain or spinal cord injury, or abdominal visceral injuries
* Patients with significant lung contusions, pneumothorax, flail chest
* Chronic opioid users.
* Uncooperative patients and patients with psychiatric illness