Status:
UNKNOWN
Erector Spinae Plane Block for Rib Fracture Analgesia in the Emergency Department
Lead Sponsor:
University of Southern California
Conditions:
Rib Fracture Multiple
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
Rib fractures, while in isolation are self-limited and benign, can be exquisitely painful. Poorly controlled rib fracture pain can compromise respiratory function leading to increased morbidity and mo...
Detailed Description
Rib fractures, while in isolation are self-limited and benign, can be exquisitely painful. Poorly controlled rib fracture pain can compromise respiratory function leading to increased morbidity and mo...
Eligibility Criteria
Inclusion
- Age \>=18
- At least 1 acute rib fracture. Acute defined as within 7 days of presentation.
- Numerical pain score on presentation at least 5 out of 10. This will identify patients that justify the invasive procedure.
- Admitted to hospital for at least 24 hours of observation.
- Be able to consent and participate in study by assuming necessary positioning for intervention
Exclusion
- Hypotension/shock (shock index \>1.0, SBP \< 90)
- Distracting injury not amenable to ESPB as determined by the enrolling physician. (i.e extremity fracture, burn, laceration, contusion, joint dislocation, etc.)
- Examples of patients not able to consent/participate are intubated patients or patients in spinal precautions (i.e c-collar)
- Known hypersensitivity to local anesthetic
- Evidence of infection at the proposed site of injection
Key Trial Info
Start Date :
July 1 2021
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
August 31 2022
Estimated Enrollment :
40 Patients enrolled
Trial Details
Trial ID
NCT04892563
Start Date
July 1 2021
End Date
August 31 2022
Last Update
May 19 2021
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