[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"multiple-rib-fractures\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:multiple-rib-fractures":31},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,45],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":4,"eligibilityCriteria":15,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":18,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":4,"overallStatus":32,"whyStopped":4,"lastUpdateSubmitDate":33,"lastUpdatePostDateStruct":34,"startDateStruct":37,"completionDateStruct":39,"leadSponsor":41,"locationsCount":44},"100598254","continuous-erector-spinae-block-versus-continuous-edge-of-laminar-block-on-the-quality-of-analgesia-and-diaphragmatic-excursion-in-patients-with-multiple-rib-fractures-100598254",false,"NCT07069101","Continuous Erector Spinae Block Versus Continuous Edge of Laminar Block on The Quality of Analgesia and Diaphragmatic Excursion in Patients With Multiple Rib Fractures","The Effect of Continuous Erector Spinae Block Versus Continuous Edge of Laminar Block on The Quality of Analgesia and Diaphragmatic Excursion in Patients With Multiple Rib Fractures. A Prospective Randomized Trail.","Inclusion Criteria:\n\n* Aged between 21 and 65 years.\n* Both sexes.\n* With unilateral traumatic multiple fracture ribs (≥ 3), admitted to the surgical intensive care unit within the first day of trauma.\n\nExclusion Criteria:\n\n* Patients' rejection.\n* Body mass index ≥ 35 (kg\u002Fm2).\n* Bleeding and Coagulation disorders.\n* Known hypersensitivity to the study drugs.\n* Vertebral deformity.\n* Respiratory, cardiac, renal or hepatic dysfunction.\n* Patients with major trauma involving extra-thoracic structures (e.g., head, spine, pelvis, and abdominal visceral injuries).\n* Mental or cognitive dysfunction,\n* History of chronic analgesic or drug abuse.\n* Local infection at the site of the block.","ALL","21 Years","65 Years",{"count":20,"type":21},70,"ESTIMATED","INTERVENTIONAL",[24],"NA","This prospective randomized clinical trial aims to compare the effect of continuous erector spinae plane block versus continuous edge of laminar block on the quality of analgesia and diaphragmatic excursion in patients with unilateral traumatic multiple rib fractures.",[27,28,29,30,31],"Erector Spinae Block","Edge of Laminar Block","Analgesia","Diaphragmatic Excursion","Multiple Rib Fractures","RECRUITING","2025-07-16",{"date":35,"type":36},"2025-07-20","ACTUAL",{"date":38,"type":36},"2024-11-01",{"date":40,"type":21},"2025-12-01",{"name":42,"class":43},"Tanta University","OTHER",1,{"id":46,"slug":47,"hasResults":11,"nctId":48,"briefTitle":49,"officialTitle":50,"acronym":4,"eligibilityCriteria":51,"healthyVolunteers":11,"sex":16,"minAge":52,"maxAge":53,"enrollmentInfo":54,"targetDuration":4,"studyType":22,"phases":56,"briefSummary":58,"conditions":59,"keywords":4,"overallStatus":60,"whyStopped":4,"lastUpdateSubmitDate":61,"lastUpdatePostDateStruct":62,"startDateStruct":64,"completionDateStruct":66,"leadSponsor":68,"locationsCount":4},"100589756","phase-4-role-of-nerve-block-in-management-of-multiple-rib-fractures-100589756","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","18 Years","70 Years",{"count":55,"type":21},74,[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.",[31],"NOT_YET_RECRUITING","2025-04-26",{"date":63,"type":36},"2025-05-06",{"date":65,"type":21},"2025-12",{"date":67,"type":21},"2027-04",{"name":69,"class":43},"Assiut University"]