Erector Spinae Plane Block Versus Thoracic Epidural Block for Chest Trauma

• Status: Completed
• Trial end date: 2020-04-20
• Target enrollment: 0
• Participant gender: All

Summary

Rib fractures are very common as a consequence of blunt chest trauma which is associated with severe pain, morbidity and mortality. The key to managing these patients is prompt and effective analgesia, early mobilization, respiratory support, with chest physiotherapy. The aim of this study is to compare and evaluate the differences between either continuous erector spinae plane (ESP) block, or thoracic epidural analgesia (TEA) as analgesic modalities in patients with chest trauma. It is hypothesized that ESP block will be comparable to TEA as a promising effective analgesic alternative with fewer side effects.

• Phase: N/A
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Sameh Fathy; Sameh Mohamed Fathy El-Sherbiny
• Treatments: Bupivacaine

Criteria

Inclusion Criteria:

• American Society of Anesthesiologists (ASA) status: 1 or 2 .

• Blunt chest trauma.

• Multiple rib fractures.

• Flail chest.

• Lung contusions.

Exclusion Criteria:

• Bilateral chest trauma.

• Intubated patients.

• Other peripheral or abdominal injuries.

• Traumatic brain injury, altered mental status or un-cooperative patients.

• Acute spine fractures or pre-existing spine deformity.

• Unstable hemodynamics.

• Sensitivity to local anesthetic drugs.

• Coagulation abnormalities.

• Infection at the site of procedure.

• Significant cardiac or respiratory dysfunction, hepatic or renal impairment.