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Erector Spinae Plane vs Serratus Anterior Plane Catheter Infusions for Acute Pain Management in Patients With Traumatic Rib Fractures

RecruitingNAAges 18 Years - anyAllSunnybrook Health Sciences Centre
NCT07756047 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Rib fractures happen in about 10-20% of patients with blunt trauma and can be serious, with higher death rates in older adults. These injuries often lead to lung problems like pneumonia, collapsed lung areas (atelectasis), fluid buildup, or even respiratory failure. A major reason for this is pain-patients avoid deep breathing and coughing, which worsens lung function. Good pain control helps prevent these complications. Opioids are commonly used for pain but can cause problems such as slowed breathing, delirium, nausea, and longer time on a ventilator. Because of this, regional anesthesia (nerve blocks) is increasingly used to control pain while reducing opioid use. Common options include epidurals, paravertebral blocks, and newer techniques like erector spinae plane (ESP) and serratus anterior plane (SAP) blocks. Continuous catheter techniques are especially useful in trauma patients

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📋 Eligibility rules (as published)
Inclusion Criteria: * Age \>18; * Traumatic rib fractures (unilateral or bilateral); * Minimum of 3 rib fractures per side; * Admitted to hospital for \<72 hours * NRS pain score \> 4 at rest or with movement for chest pain at the time of eligibility assessment Exclusion Criteria: * Severe traumatic brain injury (Glasgow Coma Scale \< 9); * Surgery performed/planned within 72 hours of catheter infusion start; * Uncontrolled coagulopathy; * Skin infection or anatomical abnormality (i.e. open fracture) at insertion sites; * Allergy to local anesthetic; * Chronic high dose opioid use preadmission (Morphine Equivalent Dose \> 30mg per day); * Pregnancy; * Acute respiratory failure requiring intubation at enrolment; * Inability to comply with Intravenous Patient-Controlled Analgesia use; * Contraindications to nerve blocks * High likelihood of loss to follow-up
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What it tests

  • Erector spinae plane catheter
  • Serratus plane catheter
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Where

1 site
Sunnybrook Health Sciences Centre
Toronto, Canada
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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