Lidocaine Spray for Pain Control in Rib Fractures

Ankara City Hospital Bilkent48 enrolled

Overview

In this study, we aimed to compare the analgesic efficacy of lidocaine spray with tramadol hydrochloride and fentanyl citrate in rib fractures.

Patients over the age of 18 who came to our emergency department with blunt chest trauma were divided into three groups. Groups was created from patients who were given lidocaine 10% spray (local), i.v. 100 mg of tramadol and i.v. fentanyl 50 mcg. A total of 48 patients, each of whom were 16, were included in the study. Numerical rating scale (NRS) pain scores of the patients at baseline, 15th, 30th and 60th minutes were compared. These scores and the amount of falls at follow-up were analyzed comparatively between the 3 groups.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Rib Fractures Analgesia

Interventions

Lidocaine topicalDRUG

Lidocaine spray, which is a quick and easy-to-use topical local anesthetic, will be applied as a puff to the painful area.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Open conscious * Oriented and cooperative * Blunt thoracic trauma and rib fracture * Numerical rating scale (NRS) was 5 or higher Exclusion Criteria: * Patients who refused to participate in the study * Detected or suspected pregnancy * Known history of allergy or other adverse reaction to the drugs used in the study * History of sedative drug use or drug addiction * Analgesic use within 6 hours of admission to the emergency department * Needed emergency tube thoracostomy or surgical intervention * Hemodynamically unstable * Open and/or infected wounds in the fracture area

Locations (1)

Ankara City Hospital

Ankara, Turkey (Türkiye)

Outcomes

Primary Outcomes

Pain control

We use Numeric rating scala.

Time frame: 60th minutes.

Data from ClinicalTrials.gov

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