An interventional study of internal fixation of mulitiple rib fracture in Rib Fracture Multiple and Anesthesia, Local, sponsored by Shanghai Jiao Tong University Affiliated Sixth People's Hospital. Completed at 1 site in China. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2021-04-27.
Sponsored by Shanghai Jiao Tong University Affiliated Sixth People's Hospital · Not applicable, Interventional, and Treatment
Tracheal intubation and general anesthesia has been considered a safe and conventional routine methodology for thoracic surgery, include multiple rib fratcure. However,adverse effects such as sore throat, pain, hoarseness, and respiratory complications are common after that. In this study, we decide to perform surgical stabiliazation of rib fractures by paravertebral block surgical stabiliazation of rib fractures under awake or appropriate sedation without endotracheal intubation keeping spontaneous respiration to investigate its safety and feasibility.
Rib fracture is common in the world,especially in chest trauma. Conservative treatment is used to it for many years but the effect is not well because of continuous pain caused by the dislocation of broken rib. Surgical stabiliazation of rib fractures can relieve the pain rapidly and help patient recover to work early. This kind of surgery is constantly conducted with tracheal intubation and general anesthesia. However,adverse effects such as sore throat, pain, hoarseness, and respiratory complications are common after that. So we think perform surgical stabiliazation of rib fractures under awake or appropriate sedation without endotracheal intubation keeping spontaneous respiration to investigate its safety and feasibility.
14 studies on the registry are indexed under Fractures, Multiple; 4 are open to participants now.
Browse Fractures, Multiple studies →Shanghai Jiao Tong University Affiliated Sixth People's Hospital is the lead sponsor of 40 studies on the registry; 22 are open to participants now.
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Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Exclusion Criteria:
Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
The anaesthetists’ scale of health before surgery: I is healthy, II has a mild illness that is under control, III a severe one, IV a severe illness that is a constant threat to life. V and VI are used for the critically ill and for organ donors.
Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.
What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.
Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.
ASA physical status
The anaesthetists’ scale of health before surgery: I is healthy, II has a mild illness that is under control, III a severe one, IV a severe illness that is a constant threat to life. V and VI are used for the critically ill and for organ donors.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
BMI (body mass index)
Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.
What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
COPD
Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
patients receive internal fixation for multiple rib fractures using paravertebral nerve block anesthesia in awareness status and keep spontaneous breath
Procedure: internal fixation of mulitiple rib fracture
The dislocated rib fracture was anatomically reduced, and then fixed with appropriate equipment to prevent the fracture from being displaced again
conversion to tracheal intubation
index of consciousness(IOC): If the scale low zhan 40 or high than 60, it need intubation
Time frame: during surgery
pain score
Numerical Rating Scale(NRS): 0-10 is used to represent different degrees of pain, 0 is painless and 10 is severe pain. The grading criteria of pain were: 0: no pain; 1-3: mild pain; 4-6: moderate pain; 7-10: severe pain
Time frame: 6 hours after operation
pain score
Numerical Rating Scale(NRS): 0-10 is used to represent different degrees of pain, 0 is painless and 10 is severe pain. The grading criteria of pain were: 0: no pain; 1-3: mild pain; 4-6: moderate pain; 7-10: severe pain
Time frame: 12 hours after operation
pain score
Numerical Rating Scale(NRS): 0-10 is used to represent different degrees of pain, 0 is painless and 10 is severe pain. The grading criteria of pain were: 0: no pain; 1-3: mild pain; 4-6: moderate pain; 7-10: severe pain
Time frame: 24 hours after operation
operation time
operation time
Time frame: during surgery
blood loss
blood loss
Time frame: during surgery
days of stay hospital
days of stay hospital
Time frame: from the date of hospitalization to the date of leave hospital,assessed up to 100 months
costs of stay hospital
costs of stay hospital
Time frame: from the date of hospitalization to the date of leave hospital,assessed up to 100 months
PONV score
Visual analogue scale (VAS). 1-10 is used to represent different degrees of nausea and vomiting. 1 \~ 4 was mild, 5 \~ 6 was moderate, 7 \~ 10 was severe
Time frame: 6 hours after operation
PONV score
Visual analogue scale (VAS). 1-10 is used to represent different degrees of nausea and vomiting. 1 \~ 4 was mild, 5 \~ 6 was moderate, 7 \~ 10 was severe
Time frame: 12 hours after operation
PONV score
Visual analogue scale (VAS). 1-10 is used to represent different degrees of nausea and vomiting. 1 \~ 4 was mild, 5 \~ 6 was moderate, 7 \~ 10 was severe
Time frame: 24 hours after operation
This study is completed, as verified in Apr 2021. You cannot join it, but the record below documents what was studied.
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Shanghai Jiao Tong University Affiliated Sixth People's Hospital