NCT05069961

Non-Inferiority Study of Erector Spinae Plane Block Compared to Thoracic Epidural in Pain Management of Rib Fractures

Non- Inferiority Study of Erector Spinae Plane Block Compared to Thoracic Epidural Analgesia in Multimodal Pain Management of Multiple Rib Fractures

• Status: Withdrawn
• Phase: N/A
• Study type: Interventional
• Enrollment: 0 (actual)
• Sponsor: Indiana University · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Accepted

Summary

The purpose of this study is to compare 2 pain control treatments for people with 3 or more rib fractures.

Detailed description

2.1 Primary Objective * Compare efficacy of ESPB to TEA for MRF analgesia. 2.2 Secondary Objective * Compare systemic opioid and non-opioid medication use in patients with ESPB and TEA. 2.3 Tertiary/Exploratory/Correlative Objectives * Determine improvement in respiratory function in ESPB versus TEA before and after analgesia placement. * Compare complications that occur in patients who receive ESPB versus TEA. * Compare dermatome levels relative to catheter placement that achieve analgesia for TEA and ESPB. * Compare differences in deep vein thrombosis (DVT) prophylaxis and incidence between ESPB and TEA. * Differences in length of stay (LOS) for TEA versus ESPB. * Differences in risk of delirium between TEA and ESPB. * Differences in oxygen and ventilatory support between TEA and ESPB. * Patient satisfaction of pain management.

Conditions

• Rib Fractures

Interventions

Type	Name	Description
PROCEDURE	ESPB	Ropivacaine is injected near the nerves in the back
PROCEDURE	TEA	Bupivacaine is injected into the space around the spinal cord.

Timeline

• Start date: 2023-05-31
• Primary completion: 2024-07-31
• Completion: 2025-07-31
• First posted: 2021-10-06
• Last updated: 2023-10-31