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IRCT20161017030336N8 IRCT 2021-11-23 Arak University of Medical Sciences comparison between thoracic epidural and intercostal block in pain management of patients with 3-4 traumatic rib fracture comparison between thoracic epidural and intercostal block in pain management of patients with 3-4 traumatic rib fracture 2021-05-04 anticipated 86 Complete https://irct.ir/trial/59632 interventional Randomization: N/A, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Blinding description: Thoracic trapezius or intercostal block is performed by the anesthesiologist in charge of the project and then the intern in charge of the project who is unaware of the grouping, patient information including pain score, hemodynamics, etc. will be recorded in the questionnaire. Also, the project consultant statistician who is in charge of data analysis is not aware of the groups and only analyzes the two groups A and B. N/A Condition 1: Fracture of thoracic vertebra. Condition 2: Multiple fractures of ribs. Intervention 1: Intervention group 1: Patients with thoracic epidural block are placed in a sitting position after taking a vein and giving 3 cc per kg of normal saline, and after washing the area using an epidural needle 20 in the thoracic space, depending on the fracture of the ribs, we will block the patient.The desired dose for the patient using marcaine is 0.25 to 0.3 cc per kg. Intervention 2: Intervention group 2: Patients in the intercostal block group, after taking a vein and giving 3 cc / kg of normal saline while sitting or lying on their side, then the target area is washed and the intercostal block is prepared. Using a G22 needle and according to the fracture site, nerve block is performed through the intercostal space in the posterior region. The desired dose for inter-gear block is 0.2 cc / kg of marcaine 0.25. Yes - There is a plan to make this available What will be shared: All data is potentially shareable after unidentified individuals When: The access period starts 6 months after the results are published To whom: Available only to researchers working in academic and scientific institutions. Conditions: There are no conditions for access to information. Where to obtain: Vice Chancellor for Research, Arak University of Medical Sciences.+98 86 3417 3505 How to obtain: The applicant can access the documents immediately after contacting the Vice Chancellor for Research of Arak University of Medical Sciences. Comments:
public Ali Karbasfroshan
Pardis of Arak University of Medical Sciences, Sardasht, Basidj Bidge, Arak
Arak Iran (Islamic Republic of) 3819693345 +98 86 3417 3505 alikarbasi@yahoo.com Arak University of Medical Sciences scientific Dr. Siamak Rakei Isfahani
Arak University of Medical Sciences, Sardasht, Basidj Bidge
Arak Iran (Islamic Republic of) 3819693345 +98 86 3417 3505 siamakrakei@yahoo.com Arak University of Medical Sciences Iran (Islamic Republic of) Patients with 3-4 rib fractures Age between 15 to 50 years Lack of underlying heart and lung disease Absence of hemothorax and pneumothorax Absence of pulmonary contusion Lack of sensitivity to marcaine and lidocaine Lack of sensitivity to drugs 15 years 50 years Both The patient's unwillingness to participate in the plan History of drug addiction S22.0 S22.4 Fracture of thoracic vertebra Multiple fractures of ribs Treatment - Other Treatment - Other Intervention group 1: Patients with thoracic epidural block are placed in a sitting position after taking a vein and giving 3 cc per kg of normal saline, and after washing the area using an epidural needle 20 in the thoracic space, depending on the fracture of the ribs, we will block the patient.The desired dose for the patient using marcaine is 0.25 to 0.3 cc per kg. Intervention group 2: Patients in the intercostal block group, after taking a vein and giving 3 cc / kg of normal saline while sitting or lying on their side, then the target area is washed and the intercostal block is prepared. Using a G22 needle and according to the fracture site, nerve block is performed through the intercostal space in the posterior region. The desired dose for inter-gear block is 0.2 cc / kg of marcaine 0.25. Pain. Timepoint: In 15 minutes, one hour, 2 hours, 4 hours, 12 hours, 24 hours. Method of measurement: Visual Analogue Scale. In this scale, the number zero is considered painless and the number 10 is considered the maximum amount of pain. Arak University of Medical Sciences Approved 2021-05-03 Ethics Committee of Arak University of Medical Sciences Basij St., Campus of Arak University of Medical Sciences Arak Markazi Iran (Islamic Republic of)