Erector Spinae Plane Block Versus Thoracic Epidural Analgesia in Patients With Multiple Fracture Ribs
Fracture; Rib, Multiple
About this trial
This is an interventional other trial for Fracture; Rib, Multiple
Eligibility Criteria
Inclusion Criteria:
- Patients with multiple fracture ribs.
Exclusion Criteria:
- Patient refusal.
- Patients with pre-existing infection at the block site.
- Coagulopathy.
- Allergy to local anesthetics.
- Pre-existing neurological deficits.
- Psychiatric illness.
Sites / Locations
- Assiut University Hospital
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
Thoracic Epidural Analgesia group
Erector spinae plane block group
25 patients will receive ultrasound-guided thoracic epidural analgesia for multiple fracture ribs at the level of T8 with 7.5-12 ml of Bupivacaine HCl Inj 0.25% as a loading dose followed by catheter insertion and infusion of Bupivacaine Hydrochloride, 0.125%-0.9% Injectable Solution at 5-7 ml/h. For breakthrough pain bolus of Bupivacaine Hydrochloride, 0.125%-0.9% Injectable Solution 5-10 ml can be used.
25 patients will receive ultrasound-guided ESP block for multiple fracture ribs at the level from T1 to T5 with 7.5-12 ml of Bupivacaine HCl Inj 0.25% as a loading dose followed by catheter insertion and infusion of Bupivacaine Hydrochloride, 0.125%-0.9% Injectable Solution at 5-7 ml/h. For breakthrough pain bolus of Bupivacaine Hydrochloride, 0.125%-0.9% Injectable Solution 5-10 ml can be used.