Ultrasound Guided Serratus Anterior Plane Block for Rib Fractures

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorWellSpan Health

About this trial

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.

Eligibility criteria

Qualifiers

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

Disqualifiers

Age <18 years

Inability to provide informed consent

Allergy to local anesthesia

Subsequent visit for rib fractures

Trial design

Treatments tested in this trial

  • Serratus Anterior Plane Block (SAPB)
  • Standard Analgesic Medications

Treatment groups

60 Participants
are divided into 2 treatment groups

Sponsors and collaborators