Impact of Loco-regional Analgesia Following Placement of Erector Spinae Plane Catheter in Addition to Systemic Analgesia in Patients With Thoracic Trauma (ERECTRAUTHO)

  • STATUS
    Recruiting
  • End date
    Aug 22, 2024
  • participants needed
    40
  • sponsor
    Centre Hospitalier Departemental Vendee
Updated on 4 October 2022

Summary

The management of analgesia is the key issue in the management of a thoracic trauma patient to prevent respiratory complications.

A multimodal approach is recommended but the question of the most suitable loco-regional analgesia technique remains. It must combine effectiveness and simplicity with the least risk to the patient. Today, epidural analgesia is the technique of choice, but it has certain disadvantages: difficulties in performing it at the thoracic level, undesirable effects, complications, and numerous contraindications.

The investigator propose to carry out a single-centre, prospective, randomised, controlled pilot study evaluating the impact of loco-regional analgesia following the placement of erector spinae plane catheter in addition to systemic analgesia in patients with thoracic trauma.

The aim is to demonstrate the effectiveness of this technique, which has fewer disadvantages than epidural analgesia. The interest of this study is thus to decrease the respiratory morbidity of thoracic trauma patients by avoiding a maximum of complications.

Details
Condition Trauma Abdomen
Treatment Erector spinae plane catheter group in addition to Systemic Analgesia, Systemic Analgesia Only Group
Clinical Study IdentifierNCT05288985
SponsorCentre Hospitalier Departemental Vendee
Last Modified on4 October 2022

Eligibility

Yes No Not Sure

Inclusion Criteria

Age ≥ 18 years
Uni- or bilateral chest trauma with fracture > 2 ribs on one side
Admission to Intensive Care Medicine
Non-intubated patient, able to respond to a pain scale score and perform a vital capacity
Numerical Scale > 3 on forced inspiration despite use of systemic analgesics
CV ≤ 80% theoretical at inclusion
Time < 24 hours from admission to the service to inclusion
Time < 48h between trauma and inclusion
Patient affiliated to the social security system or entitled to it
Patient able to understand the protocol, having agreed to participate in the study and having given express oral consent

Exclusion Criteria

Intubated, ventilated patient
Indication for laparotomy or thoracotomy
Spinal cord injury
Severe head injury
Patient included in a category 1 clinical interventional study involving analgesic treatment
Patients under legal protection or deprived of liberty
Pregnant or breastfeeding women, or women with childbearing potential without effective contraception
Refusal to participate
Unable to understand the protocol and its requirements and/or unable to give express oral consent
Clear my responses

How to participate?

Step 1 Connect with a study center
What happens next?
  • You can expect the study team to contact you via email or phone in the next few days.
  • Sign up as volunteer  to help accelerate the development of new treatments and to get notified about similar trials.

You are contacting

Investigator Avatar

Primary Contact

site

Additional screening procedures may be conducted by the study team before you can be confirmed eligible to participate.

Learn more

If you are confirmed eligible after full screening, you will be required to understand and sign the informed consent if you decide to enroll in the study. Once enrolled you may be asked to make scheduled visits over a period of time.

Learn more

Complete your scheduled study participation activities and then you are done. You may receive summary of study results if provided by the sponsor.

Learn more

Similar trials to consider

Loading...

Not finding what you're looking for?

Every year hundreds of thousands of volunteers step forward to participate in research. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.

Sign up as volunteer

user name

Added by • 

 • 

Private

Reply by • Private
Loading...

Lorem ipsum dolor sit amet consectetur, adipisicing elit. Ipsa vel nobis alias. Quae eveniet velit voluptate quo doloribus maxime et dicta in sequi, corporis quod. Ea, dolor eius? Dolore, vel!

  The passcode will expire in None.
Loading...

No annotations made yet

Add a private note
  • abc Select a piece of text from the left.
  • Add notes visible only to you.
  • Send it to people through a passcode protected link.
Add a private note