Evaluation of the Analgesia by Serratus Plane Block During Pleural Drainage in Intensive Care Unit.

Who is this study for? Patients hospitalized in ICU unit requiring pleural drainage
What treatments are being studied? Serratus plane block
Status: Unknown
Location: See location...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 3
SUMMARY

Pleural drainage under local anesthesia is a frequent practice in resuscitation, experienced as an unpleasant and painful event for patients. Pain management is an important issue for early rehabilitation, decrease hospitalisation's cost and shortening the length of stay in intensive care unit (ICU). A new type of locoregional anesthesia called Serratus plane block described by Blanco in 2013 showed a benefit in per and postoperative analgesia in thoracic surgery and carcinologic breast surgery, allowing a decrease in morphine use and an improvement of the patient's general satisfaction. Serratus plane block is a very effective technique in chest wall analgesia, easy and safe to perform, with few complications. No studies to date have evaluated this anesthetic practice in intensive care for pleural drainage. This technique could be used outside the operating room to improve the intensive care patients, who often have heavier pathologies and greater pain, such as patients with chest trauma or patients with cardiac or respiratory disease. The investigators would like to conduct a preliminary study of superiority in the CHU Amiens intensive care unit, to study the interest of the Serratus plane block in comparison with local anesthesia on the management of acute pain during pleural drainage.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• patients over 18 years old.

• non-intubated patient with spontaneous ventilation

• free and informed consent of the patient,

• affiliated to a social security scheme

• hospitalized in ICU unit including surgical ICU, cardiothoracic and respiratory ICU or cardiothoracic and respiratory continuous care unit.

• requiring pleural drainage gas or fluid

• conscious patient, not sedated.

Locations
Other Locations
France
CHU Amiens
RECRUITING
Amiens
Contact Information
Primary
Louise Badoux, MD
badoux.louise@chu-amiens.fr
(33)322087877
Backup
Louise Badoux, MD
badoux.louise@chu-amiens.fr
(33)322087607
Time Frame
Start Date: 2019-06-04
Completion Date: 2023-06-04
Participants
Target number of participants: 70
Treatments
Active_comparator: AL group
patients will receive a local infiltration of 10 mL Lidocaine without epinephrine 20 mg/mL
Experimental: Serratus group
patients will receive ultrasound guided serratus plane block injection of 30 mL Ropivacaine 4.75 mg/mL
Sponsors
Leads: Centre Hospitalier Universitaire, Amiens

This content was sourced from clinicaltrials.gov

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