Ultrasound Guided Serratus Anterior Plane Block for Rib Fractures
Recruiting now · Not applicable
Conditions studied: Rib Fracture Multiple
In brief
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.
Key facts
- Study ID
- NCT05748366
- Run by
- WellSpan Health
- People needed
- 60
- Starts
- 2023-03-31
- Expected to finish
- 2027-06-30
- Last updated by the study team
- 2025-07-18
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Age >18 years
- >1 Unilateral, acute rib fractures diagnosed on x-ray or CT imaging
- Patient presenting to the WellSpan York Hospital ED
- Patient requiring IV analgesia or oral opioid to control pain related to rib fractures
You may not qualify if…
- Age <18 years
- Inability to provide informed consent
- Allergy to local anesthesia
- Subsequent visit for rib fractures
- Patients taken emergently to the OR or discharged from the ED
- Significant distracting injuries/polytrauma that would not be expected to be responsive to analgesia from SAPB and confound pain scores, i.e. long bone fractures, intraabdominal injuries, etc.
Where it is running
- Wellspan Health York Hospital — York, Pennsylvania, United States (enrolling)
Full record on ClinicalTrials.gov
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