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Study aim
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Determining and comparing the pain during chest tube insertion in trauma patients in two methods local anesthesia and intercostal nerve block.
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Design
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After obtaining consent, patients will be randomly assigned to intervention or control groups. Data will be analyzed using SPSS, with statistical significance set at p < 0.05.
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Settings and conduct
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Absence of similar studies, low complications, and high efficacy in the trauma emergency room of Shahid Beheshti Hospital, Kashan
Patients are divided into intervention and control groups, in the intervention group, intercostal block and local anesthesia are performed, and in the control group, only local anesthesia is performed.
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Participants/Inclusion and exclusion criteria
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Blunt or penetrating trauma to the chest that requires the insertion of a chest tube-Absence of severe respiratory distress- Vital signs in the form of pulse rate less than 100, systolic blood pressure 4. greater than 90, respiratory rate less than 30, oxygen saturation percentage greater than 95-The level of consciousness with the GCS index should be equal to and greater than 14.
No need for emergency surgery-No addiction to opioid drugs
exit :It is not possible to follow the patient for up to one hour due to surgery, decreased level of consciousness, or death
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Intervention groups
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In the intervention group, to perform an intercostal block, lidocaine 2% is injected in the lower edge of the 5th to 7th ribs in the posterior axillary line (3 cc for each rib). Then local anesthesia is also injected with 2% lidocaine using a 10 ml syringe and a 22G needle in the 5th or 6th intercostal space in the middle axillary line in different directions.
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Main outcome variables
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Age, sex, type of trauma, heart rate, blood pressure, respiratory rate, o2 saturation percentage, type of analgesia, pain score, narcotics intake, reasons for not performing intercostal nerve block, nationality