Tracheal intubation and general anesthesia has been considered a safe and conventional routine methodology for thoracic surgery, include multiple rib fratcure. However,adverse effects such as sore throat, pain, hoarseness, and respiratory complications are common after that. In this study, we decide to perform surgical stabiliazation of rib fractures by paravertebral block surgical stabiliazation of rib fractures under awake or appropriate sedation without endotracheal intubation keeping spontaneous respiration to investigate its safety and feasibility.
Rib fracture is common in the world,especially in chest trauma. Conservative treatment is used to it for many years but the effect is not well because of continuous pain caused by the dislocation of broken rib. Surgical stabiliazation of rib fractures can relieve the pain rapidly and help patient recover to work early. This kind of surgery is constantly conducted with tracheal intubation and general anesthesia. However,adverse effects such as sore throat, pain, hoarseness, and respiratory complications are common after that. So we think perform surgical stabiliazation of rib fractures under awake or appropriate sedation without endotracheal intubation keeping spontaneous respiration to investigate its safety and feasibility.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
20
The dislocated rib fracture was anatomically reduced, and then fixed with appropriate equipment to prevent the fracture from being displaced again
Shanghai Jiao Tong University Affiliated Sixth People's Hospital
Shanghai, Shanghai Municipality, China
conversion to tracheal intubation
index of consciousness(IOC): If the scale low zhan 40 or high than 60, it need intubation
Time frame: during surgery
pain score
Numerical Rating Scale(NRS): 0-10 is used to represent different degrees of pain, 0 is painless and 10 is severe pain. The grading criteria of pain were: 0: no pain; 1-3: mild pain; 4-6: moderate pain; 7-10: severe pain
Time frame: 6 hours after operation
pain score
Numerical Rating Scale(NRS): 0-10 is used to represent different degrees of pain, 0 is painless and 10 is severe pain. The grading criteria of pain were: 0: no pain; 1-3: mild pain; 4-6: moderate pain; 7-10: severe pain
Time frame: 12 hours after operation
pain score
Numerical Rating Scale(NRS): 0-10 is used to represent different degrees of pain, 0 is painless and 10 is severe pain. The grading criteria of pain were: 0: no pain; 1-3: mild pain; 4-6: moderate pain; 7-10: severe pain
Time frame: 24 hours after operation
operation time
operation time
Time frame: during surgery
blood loss
blood loss
Time frame: during surgery
days of stay hospital
days of stay hospital
Time frame: from the date of hospitalization to the date of leave hospital,assessed up to 100 months
costs of stay hospital
costs of stay hospital
Time frame: from the date of hospitalization to the date of leave hospital,assessed up to 100 months
PONV score
Visual analogue scale (VAS). 1-10 is used to represent different degrees of nausea and vomiting. 1 \~ 4 was mild, 5 \~ 6 was moderate, 7 \~ 10 was severe
Time frame: 6 hours after operation
PONV score
Visual analogue scale (VAS). 1-10 is used to represent different degrees of nausea and vomiting. 1 \~ 4 was mild, 5 \~ 6 was moderate, 7 \~ 10 was severe
Time frame: 12 hours after operation
PONV score
Visual analogue scale (VAS). 1-10 is used to represent different degrees of nausea and vomiting. 1 \~ 4 was mild, 5 \~ 6 was moderate, 7 \~ 10 was severe
Time frame: 24 hours after operation
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