Compare between serratus anterior plane block and thoracic Paravertebral block in analgesia for patients with multiple rib fractures
The study will be conducted in a prospective randomised controlled. Patients will be allocated into three groups Control group: The patient will receive fentanyl patch 50 microgram TPVB group: The patient will receive thoracic vertebral plane lock 0.4ml/kg bupivacaine 0.1 25% will be administered. For continuous infusion catheter will be inserted . Then a rate of 7ml / hour to max 10 ml / hour of bupivacaine 0.0625% SAPB group,: Patient will receive serratus anterior plane block 0.4ml / kg bupivacaine 0.125% will be injected to open the space then a catheter will be advanced For continuous infusion of 0.0625 % bupivacaine at 7 ml / hour
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
60
Injection of bupivacaine between serratus anterior plane and latissimus dorsi muscle using ultrasound
Injection of bupivacaine in the thoracic Paravertebral space using ultrasound
Place a fentanyl patch 50 microgram
Minia university hospital
Minya, Egypt
RECRUITINGVAS score
Visual analogue pain score describe by the patient
Time frame: 24 hour
Total analgesic consumption
Total opioid consume by the patient in 24 hour
Time frame: 24 hour
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