Ultrasound Guided Serratus Anterior Plane Block in ED Patients with Rib Fractures

Description

The goal of this clinical trial is to test the effectiveness of the Serratus Anterior Plane Block in patients with rib fractures. The main questions it aims to answer are: * Determine if UG-SAPB results in an improved pain, incentive spirometry, and cough ability (PIC) score when compared to usual care over the first five hours. * Evaluate if UG-SAPB results in fewer opioid medications administered when compared to usual care over the first 24 hours. Participants will undergo the Serratus Anterior Plane. Researchers will compare this to usual care to see if this intervention improves pulmonary function and reduces opioid requirements for ED patients with rib fractures.

Conditions

Rib Fractures, Pain Acute, Regional Anesthesia, Opioid Use

Study Overview

Study Details

Study overview

The goal of this clinical trial is to test the effectiveness of the Serratus Anterior Plane Block in patients with rib fractures. The main questions it aims to answer are: * Determine if UG-SAPB results in an improved pain, incentive spirometry, and cough ability (PIC) score when compared to usual care over the first five hours. * Evaluate if UG-SAPB results in fewer opioid medications administered when compared to usual care over the first 24 hours. Participants will undergo the Serratus Anterior Plane. Researchers will compare this to usual care to see if this intervention improves pulmonary function and reduces opioid requirements for ED patients with rib fractures.

Ultrasound Guided Serratus Anterior Plane Block in ED Patients with Rib Fractures,

Ultrasound Guided Serratus Anterior Plane Block in ED Patients with Rib Fractures

Condition
Rib Fractures
Intervention / Treatment

-

Contacts and Locations

Providence

Rhode Island Hospital, Providence, Rhode Island, United States, 02903

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Radiology confirmed anterior or lateral rib fractures either on X-ray or chest computed tomography CT
  • * pain score of 5/10.
  • * Patients must be able to verbalize how much pain they are having on an 11-point Numeric Rating Pain Scale
  • * perform an incentive spirometry and be able to cough on command
  • * isolated rib fractures that do not include ribs T3-T9
  • * penetrating trauma, pregnancy
  • * requiring immediate surgical or procedural intervention
  • * known allergy to amide-type local anesthetics
  • * have a painful distracting injury

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

Rhode Island Hospital,

Study Record Dates

2025-10