RECRUITING

Assessment of Morbidity and Mortality Following Serratus Anterior Plane Block (SAPB) for Unilateral Rib Fractures

Description

The goal of this observational study is to learn about the long-term effects of the serratus anterior plane block (SAPB) in adult patients who suffered multiple unilateral anterolateral rib fractures within 24 hours of patient presentation to the emergency department. The main question it aims to answer is: Does the SAPB for multiple anterolateral rib fractures demonstrate reduction in patient morbidity and mortality, including incidence of pneumonia, length of hospital stay, discharge disposition, and death, as compared to standard analgesic regimens. The SAPB will be performed if a physician trained in the SAPB is available within 24 hours of injury. If a trained physician is not available and the patient meets inclusion criteria, they will receive parental analgesia with opioid therapy. They will be followed until date of hospital discharge, up until 60 days.

Study Overview

Study Details

Study overview

The goal of this observational study is to learn about the long-term effects of the serratus anterior plane block (SAPB) in adult patients who suffered multiple unilateral anterolateral rib fractures within 24 hours of patient presentation to the emergency department. The main question it aims to answer is: Does the SAPB for multiple anterolateral rib fractures demonstrate reduction in patient morbidity and mortality, including incidence of pneumonia, length of hospital stay, discharge disposition, and death, as compared to standard analgesic regimens. The SAPB will be performed if a physician trained in the SAPB is available within 24 hours of injury. If a trained physician is not available and the patient meets inclusion criteria, they will receive parental analgesia with opioid therapy. They will be followed until date of hospital discharge, up until 60 days.

Assessment of Morbidity and Mortality Following Serratus Anterior Plane Block (SAPB) for Unilateral Rib Fractures

Assessment of Morbidity and Mortality Following Serratus Anterior Plane Block (SAPB) for Unilateral Rib Fractures

Condition
Pain Management
Intervention / Treatment

-

Contacts and Locations

Bronx

Jacobi Medical Center, Bronx, New York, United States, 10461

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

  • * Patients over 18 years of age being treated in the Emergency Department at Jacobi Medical Center
  • * Presenting within 24 hours of injury
  • * Patient with 2 or more unilateral, anterior or lateral rib fractures
  • * Able to provide consent (patient or health care proxy)
  • * Clinical team believes the patient will require inpatient admission at the time of enrollment
  • * Patients in traumatic arrest or hemodynamic instability
  • * Patient expected to be discharged from the hospital within 24 hours
  • * Prisoner
  • * Pregnancy
  • * Children less than 18 years of age
  • * The patient is known or is suspected to be allergic to anesthetic
  • * Significant pain from another traumatic and distracting injury
  • * Patients without the ability to consent (or no health care proxy to consent)
  • * Patients with bilateral or posterior rib fractures

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

Albert Einstein College of Medicine,

Michelle Montenegro, MD, PRINCIPAL_INVESTIGATOR, Albert Einstein College of Medicine, Jacobi medical center

Study Record Dates

2026-08