Nerve Block for Rib Fractures
Trial Summary
What is the purpose of this trial?
This study is a single center, randomized controlled trial examining the effect of serratus anterior plane block (SAPB) on pain, PIC scores and other clinical outcomes in emergency department patients with multiple rib fractures in comparison to the use of analgesic medication alone. Objectives 1. Compare SAPB performed in the ED setting to analgesic medication alone with regard to pain, respiratory status and PIC score of patients with multiple rib fractures. 2. Assess the safety and feasibility of performing ultrasound-guided SAPB in the ED. 3. Evaluate outcomes of patients receiving the SAPB in the ED including amount of analgesic medications used, level of care required, need for upgrading level of care, and length of stay.
Do I have to stop taking my current medications for the trial?
The trial information does not specify whether you need to stop taking your current medications. It seems focused on comparing a nerve block to pain medication, so you might continue your current meds, but it's best to confirm with the trial coordinators.
What data supports the effectiveness of the treatment Serratus Anterior Plane Block (SAPB) for rib fractures?
Research shows that the serratus anterior plane block (SAPB) is effective in reducing pain and the need for additional pain medication in patients with rib fractures. It has been successfully used for pain management in similar conditions like breast surgery and thoracic surgeries, indicating its potential effectiveness for rib fracture pain.12345
Is the serratus anterior plane block (SAPB) safe for humans?
How is the serratus anterior plane block (SAPB) treatment different from other treatments for rib fractures?
The serratus anterior plane block (SAPB) is unique because it is an ultrasound-guided procedure that provides targeted pain relief by blocking nerves in the chest area, which can reduce the need for other pain medications like opioids. This treatment is particularly beneficial for rib fractures as it can cover a large area of the chest without affecting major blood vessels or nerves.12367
Research Team
Daniel Kreider, MD
Principal Investigator
WellSpan Health
Eligibility Criteria
This trial is for adults over 18 with one or more rib fractures confirmed by X-ray or CT scan, who visit WellSpan York Hospital's ED and need IV painkillers or oral opioids. It excludes those under 18, unable to consent, allergic to local anesthesia, needing urgent surgery, discharged immediately, revisiting for the same injury, or with other major injuries.Inclusion Criteria
Exclusion Criteria
Timeline
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive either serratus anterior plane block (SAPB) or standard analgesic medications in the emergency department
Follow-up
Participants are monitored for safety and effectiveness after treatment, including pain scores and adverse outcomes
Treatment Details
Interventions
- Serratus Anterior Plane Block (SAPB)
- Standard Analgesic Medications
Serratus Anterior Plane Block (SAPB) is already approved in United States, European Union, Canada for the following indications:
- Rib fractures
- Chest wall pain
- Rib fractures
- Thoracic surgery pain
- Rib fractures
- Chest wall pain
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Who Is Running the Clinical Trial?
WellSpan Health
Lead Sponsor