Thoracic Blocks Versus Thoracic Epidural and Patient Controlled Anesthesia in Traumatic Rib Fracture Patients

Completed · Not applicable

Conditions studied: Traumatic Rib Fracture

In brief

The primary objective of this study is to investigate whether continuous PVB is equal in efficacy to epidural anesthesia in terms of analgesia in patients with INR lower than 1.2, or is continuous ICNB equal in efficacy to PCA in terms of analgesia, if patients have INRs equal to or greater than 1.2.

Key facts

Study ID

NCT01599403

Run by

Brigham and Women's Hospital

People needed

50

Starts

2012-04-01

Expected to finish

2017-02-01

Last updated by the study team

2017-02-13

Who can join

Age: 18 and older, up to 100. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Subjects 18 years of age and greater
• Inpatient on the BWH SICU, MICU, or hospital floor ward
• Non-intubated at the time of block placement
• Traumatic Rib Fractures three or greater
• Block able to be placed within 12-24 hours of presentation to the emergency room
• Ability to provide written informed consent.
• Compliance with all ASRA and BWH Regional Anesthesia in Anticoagulated Patient guidelines for coagulation status.

You may not qualify if…

• Subject is pregnant
• Subject not expected to survive 48 hours due to traumatic injuries
• Allergy to Ropivacaine or other local anesthetic
• Any significant concomitant injuries potentially confounding data acquisition (e.g., traumatic brain injury, long bone fractures, intra-abdominal injuries)
• Known allergy to lidocaine
• Inability to provide written, informed consent
• Known opioid medication dependence
• Non-compliance with ARSA and BWH Regional Anesthesia in Anticoagulated Patient Guidelines.

Where it is running

• Brigham and Women's Hospital — Boston, Massachusetts, United States

Full record on ClinicalTrials.gov

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