Comparison of the Analgesic Efficacy of Serratus Anterior Plane Block and Intercostal Block
Rib Fractures, Serratus Anterior Plane Block, Erector Spinae Plane Block
About this trial
This is an interventional treatment trial for Rib Fractures focused on measuring Rib Fractures, Serratus Anterior Plane Block, Erector Spinae Plane Block
Eligibility Criteria
Inclusion Criteria:
- Age between 18 and 65 years
- American Society of Anesthesiologists physical status I-II-III
- Body mass index between 18-30 kg/m2
- Patients with 6 or less rib fractures
Exclusion Criteria:
- Patient refusing the procedure
- History of chronic analgesic or opioid therapy
- History of local anesthetic allergy
- Infection in the intervention area
Sites / Locations
- Ankara Atatürk Chest Disease and Chest Surgery Training and Research Hospital
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
Serratus Anterior Plane Block
Intercostal Block
Following the visualization of the anatomical structures, the nerve block needle will be advanced via the in-plane technique above the serratus anterior muscles until the interfascial space was reached. After hydrodissection with 2 ml normal saline, 20 ml 0.25% bupivacaine will be injected into the area. The block will be terminated.
The USG probe will be placed at the level of the posterior axillary line and the broken ribs. The ribs, external intercostal muscle, and internal intercostal muscle structures will be imaged. 3 ml of 0.25% bupivacaine will be injected into the subcostal area. This 3 ml 0.25% bupivacaine injection will be administered for each broken rib. The block will be terminated.