This prospective randomized clinical trial aims to compare the effect of continuous erector spinae plane block versus continuous edge of laminar block on the quality of analgesia and diaphragmatic excursion in patients with unilateral traumatic multiple rib fractures.
Aged between 21 and 65 years.
Both sexes.
With unilateral traumatic multiple fracture ribs (≥ 3), admitted to the surgical intensive care unit within the first day of trauma.
Patients' rejection.
Body mass index ≥ 35 (kg/m2).
Bleeding and Coagulation disorders.
Known hypersensitivity to the study drugs.
Parallel
Erector spinae block
Other interventionPatients will receive continuous ipsilateral erector spinae plane block.
Edge of lamina block
Other interventionPatients will receive continuous ipsilateral edge of laminar block.
Total morphine consumption
If the Numeric Rating Scale (NRS) is 4 or more IV morphine 3mg will be given.
Degree of pain
The degree of pain will be assessed using the Numeric Rating Scale (NRS) at rest and on coughing will be assessed before the block, at 60 minutes after the block, and then every 8 hours for 4 days.
Diaphragmatic excursion
Diaphragmatic excursion will be assessed before the block, at 60 minutes after the block, and then every 8 hours for 4 days.
Incidence of adverse events
Incidence of adverse events such as hematoma, local anesthetic systemic toxicity, respiratory complications, pneumothorax, nausea, and vomiting.
Forced vital capacity
Forced vital capacity (FVC) will be assessed before the block, at 60 minutes after block, and then every 8 hours for 4 days.
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