Analgesic Efficacy of Serratus Anterior Plane Block in The Rib Fractures Pain

Study Overview
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Brief Summary
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Serratus Anterior Plane Block (SAPB) is a facial plane block that was first described by Blanco in 2013 and that blocks the lateral cutaneous branches of the T2-T9 intercostal nerves, the intercostobrachial nerve, n. thoracic longus, n. thoracodorsalis nerves. Case and case series have been reported in the literature on the use of SAPB in rib fractures, and it has been reported as an effective analgesia method. We apply SAPB to patients with rib fractures with pain in our clinic. Our aim is to evaluate SAPB for patients with rib fractures pain and to compare them with the control group in terms of total analgesic consumption and pain scores.

Detailed Description
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After Ethics Committee approval patients with rib fracture pain and have a Numerical Rating Scale (NRS) score of ≥ 4, included the study. The patients were randomized by the closed envelope method. The patients were divided into two groups as the SAPB-performed group (Group S) and the Control group (Group K). Intravenous patient-controlled analgesia (PCA) device prepared with tramadol was applied to all patients.

Official Title
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Analgesic Efficacy of Serratus Anterior Plane Block in The Rib Fractures Pain

Conditions
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Serratus Plane Block

Intervention / Treatment
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* Procedure: Serratus Plane Block
* Procedure: Control


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Rib fracture pain and had a Numerical Rating Scale (NRS) score of ≥ 4 ASA I-II-III Exclusion Criteria: Patients with infection at the injection site Coagulopathy Allergy to amide-type local anesthetics History of peripheral neuropathy Hepatic and/or renal failure Refusing the procedure

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 90 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Serratus Plane Block<br>The Serratus plane block was performed, tramadol was administered with patient-controlled analgesia (PCA) and all patients were followed in the ward. | Procedure: Serratus Plane Block<br>* Serratus Plane Block was performed<br>|
| Sham Comparator: Control<br>No block was performed, tramadol was administered with patient-controlled analgesia (PCA) and all patients were followed in the ward. | Procedure: Control<br>* No block was performed<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Analgesic consumption | Tramadol | up to 24 hour | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Numerical Rating Scale (NRS) | pain scores | at 30 minutes, 1 hour, 2 hours, 4 hours, 6 hours, 12 hours, 24 hours |