[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100589756":3},{"organization":4,"armGroups":7,"interventions":18,"overallOfficials":11,"centralContacts":28,"locations":11,"responsibleParty":38,"collaborators":11,"id":42,"slug":43,"hasResults":44,"nctId":45,"briefTitle":46,"officialTitle":47,"acronym":11,"eligibilityCriteria":48,"healthyVolunteers":44,"sex":49,"minAge":50,"maxAge":51,"enrollmentInfo":52,"targetDuration":11,"studyType":55,"phases":56,"briefSummary":58,"conditions":59,"keywords":11,"overallStatus":61,"whyStopped":11,"lastUpdateSubmitDate":62,"lastUpdatePostDateStruct":63,"startDateStruct":66,"completionDateStruct":68,"leadSponsor":70,"locationsCount":11},{"fullName":5,"class":6},"Assiut University","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"nerve block","ACTIVE_COMPARATOR",null,[13],"Procedure: Nerve block with Lidocain",{"label":15,"type":10,"description":11,"interventionNames":16},"pharmacological analgesics",[17],"Drug: pharmacological analgesics",[19,24],{"type":20,"name":21,"description":22,"armGroupLabels":23,"otherNames":11},"PROCEDURE","Nerve block with Lidocain","Injection of Lidocaine (7mg\u002Fkg) with Epinephrine 1:100000 under Ultrasonographical guidance",[9],{"type":25,"name":15,"description":26,"armGroupLabels":27,"otherNames":11},"DRUG","Oral Paracetamol (500mg\u002F6hr), IV Ketolac (15mg\u002F6hr) and IV perfelgan (1gm\u002F6hr)",[15],[29,34],{"name":30,"role":31,"phone":32,"phoneExt":11,"email":33},"Mostafa A Kotb","CONTACT","+201091703324","Moustafa.16266040@med.aun.edu.eg",{"name":35,"role":31,"phone":36,"phoneExt":11,"email":37},"Ahmed M Nabil","+201005016071","ahmednabil@aun.adu.eg",{"type":39,"investigatorFullName":40,"investigatorTitle":41,"investigatorAffiliation":5,"oldNameTitle":11,"oldOrganization":11},"PRINCIPAL_INVESTIGATOR","Mostafa Kotb","Principal Investigator","100589756","phase-4-role-of-nerve-block-in-management-of-multiple-rib-fractures-100589756",false,"NCT06958549","Role of Nerve Block in Management of Multiple Rib Fractures","Management of Multiple Rib Fractures; Role of Nerve Block","Inclusion Criteria:\n\n* All trauma adult patient (18-70 years) with multiple fracture ribs\n\nExclusion Criteria:\n\n* Patient with multiple fracture rib with anterior flail segment\n* Significant head trauma","ALL","18 Years","70 Years",{"count":53,"type":54},74,"ESTIMATED","INTERVENTIONAL",[57],"PHASE4","* Epidemiology \\& Impact Thoracic trauma is a common and serious injury worldwide-especially in developing countries-and carries high rates of morbidity and mortality. Complications arise primarily from hypoventilation, which leads to atelectasis, pneumonia, and respiratory failure.\n* Key to Reducing Complications: Pain Control Effective analgesia is the cornerstone of preventing respiratory complications. Inadequate pain relief causes patients to splint and hypoventilate, setting the stage for pulmonary collapse and infection.\n* Conservative Management\n* Analgesics: Systemic pharmacological pain relief remains the mainstay.\n* Supportive Measures: Rest, application of ice, and encouragement of deep breathing exercises.\n* Incentive Spirometry: Promoted in all patients to maintain lung expansion and ward off atelectasis.\n* Regional Anesthesia Techniques\n\nTo further improve comfort and respiratory mechanics, ultrasound-guided nerve blocks are employed according to fracture location:\n\n* Serratus Anterior Plane Block for anterolateral rib fractures\n* Thoracic Paravertebral Block for posterior rib fractures\n* Surgical Intervention Reserved for complex cases-such as flail chest or fractures with risk of organ injury-where stabilization or repair may be necessary.\n* Identified Gap Despite these options, thoracic surgeons currently lack a standardized, procedure-specific pain management protocol beyond systemic analgesics, highlighting a need for consensus guidelines that integrate pharmacological and regional techniques.",[60],"Multiple Rib Fractures","NOT_YET_RECRUITING","2025-04-26",{"date":64,"type":65},"2025-05-06","ACTUAL",{"date":67,"type":54},"2025-12",{"date":69,"type":54},"2027-04",{"name":5,"class":6}]