Ultrasound Guided Serratus Anterior Plane Block in ED Patients With Rib Fractures

Completed · Early Phase 1

Conditions studied: Rib Fractures, Pain Acute, Regional Anesthesia, Opioid Use

In brief

The goal of this clinical trial is to test the effectiveness of the Serratus Anterior Plane Block in patients with rib fractures. The main questions it aims to answer are: * Determine if UG-SAPB results in an improved pain, incentive spirometry, and cough ability (PIC) score when compared to usual care over the first five hours. * Evaluate if UG-SAPB results in fewer opioid medications administered when compared to usual care over the first 24 hours. Participants will undergo the Serratus Anterior Plane. Researchers will compare this to usual care to see if this intervention improves pulmonary function and reduces opioid requirements for ED patients with rib fractures.

Key facts

Study ID

NCT06299137

Run by

Rhode Island Hospital

People needed

40

Starts

2024-07-01

Expected to finish

2025-12-01

Last updated by the study team

2026-02-18

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Radiology confirmed anterior or lateral rib fractures either on X-ray or chest computed tomography CT
• pain score of 5/10.
• Patients must be able to verbalize how much pain they are having on an 11-point Numeric Rating Pain Scale
• perform an incentive spirometry and be able to cough on command

You may not qualify if…

• isolated rib fractures that do not include ribs T3-T9
• penetrating trauma, pregnancy
• requiring immediate surgical or procedural intervention
• known allergy to amide-type local anesthetics
• have a painful distracting injury

Where it is running

• Rhode Island Hospital — Providence, Rhode Island, United States

Full record on ClinicalTrials.gov

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