Evaluation of the Analgesia by Serratus Plane Block During Pleural Drainage in Intensive Care Unit.
Status:
Recruiting
Trial end date:
2022-06-04
Target enrollment:
Participant gender:
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.