The purpose of this study is to determine if patients with rib fractures who undergo cryoablation of the intercostal nerves have improved pain control 7 days from procedure when compared to those who have a ESP catheter.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
48
an injection of 1ml of 1% lidocaine per rib and ultrasound guided cryoablation of the intercostal nerves
an ultrasound guided erector spinae plane catheter with initial bolus of 30 mL of 0.25% bupivacaine followed by infusion of 0.2% ropivacaine at 10 mL per hour via programmed intermittent bolus.
University of Minnesota
Minneapolis, Minnesota, United States
RECRUITINGMaximum pain score on POD (Post Operative Day) 7
Maximum pain score on POD (Post Operative Day) 7
Time frame: 7 days post procedure
Opioid Use
Opioid Use measured in MMEs
Time frame: 30 days post procedure
Functional Pain Scores
Functional Pain Scores on POD 0,1,2,3,4,5,6,7,and 30
Time frame: 30 days post procedure
Number of Patients using opioids at POD 30
, Number of Patients using opioids at POD 30
Time frame: 30 days post procedure
Length of hospital stay
Length of hospital stay measured in days:hours:minutes
Time frame: 30 days post procedure
Number of patients returned home by POD 30
Number of patients returned home by POD 30
Time frame: 30 days post procedure
time to first ambulation
time to first ambulation measured in days:hours:minutes
Time frame: 30 days post procedure
number of patients admitted to ICU
number of patients admitted to ICU
Time frame: 30 days post procedure
number of patients that required mechanical ventilation
number of patients that required mechanical ventilation
Time frame: 30 days post procedure
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Pulmonary Function Testing.
Pulmonary Function Tests include spirometry. For patients with pulmonary function testing, the test results between the two groups.
Time frame: 30 days post procedure