Continuous Erector Spinae Block Versus Continuous Edge of Laminar Block on The Quality of Analgesia and Diaphragmatic Excursion in Patients With Multiple Rib Fractures

Launched by TANTA UNIVERSITY · Jul 5, 2025

Keywords

ClinConnect Summary

This clinical trial is looking at two different ways to manage pain for patients who have broken several ribs on one side of their chest due to an injury. The study compares two types of continuous nerve blocks—methods where medicine is delivered near the spine to help reduce pain over time—to see which one provides better pain relief and helps the diaphragm (the muscle that helps you breathe) move more easily. This is important because controlling pain well can improve breathing and overall recovery after multiple rib fractures.

Adults between 21 and 65 years old who have at least three broken ribs on one side and are admitted to the intensive care unit soon after their injury might be eligible to join. Participants should not have serious other health problems, bleeding issues, or infections at the treatment site, among other criteria. Those who take part will receive one of the two nerve block treatments and will be monitored closely to see how well their pain is managed and how their breathing muscle works. This study aims to find the safer and more effective way to help patients feel more comfortable and breathe better after rib injuries.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Aged between 21 and 65 years.
• • Both sexes.
• • With unilateral traumatic multiple fracture ribs (≥ 3), admitted to the surgical intensive care unit within the first day of trauma.
• Exclusion Criteria:
• • Patients' rejection.
• • Body mass index ≥ 35 (kg/m2).
• • Bleeding and Coagulation disorders.
• • Known hypersensitivity to the study drugs.
• • Vertebral deformity.
• • Respiratory, cardiac, renal or hepatic dysfunction.
• • Patients with major trauma involving extra-thoracic structures (e.g., head, spine, pelvis, and abdominal visceral injuries).
• • Mental or cognitive dysfunction,
• • History of chronic analgesic or drug abuse.
• • Local infection at the site of the block.