New pain block could help chest trauma patients breathe on their own sooner
NCT ID NCT05920109
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether giving a specific nerve block (ESP block) within 6 hours of a severe chest injury can reduce the number of days patients need a ventilator. The block numbs the chest wall to ease pain and improve breathing. 400 adults with at least 3 rib fractures will be randomly assigned to get the block plus standard care, or standard care alone.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Ropivacaine
- What this could lead to
- If it works, this could reduce the number of days patients with severe chest injuries need a breathing machine, potentially speeding recovery.
- What could go wrong
- This is an early-stage trial with no prior large-scale evidence. The nerve block may not work as expected, and there are risks like catheter failure or rare complications.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 400 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2023
- Expected to finish
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Jul 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: Age \> 18 years Blunt chest trauma with 3 or more rib fractures on Thoracic CT scan With spontaneous breathing or under mechanical ventilation in the trauma bay Requiring an intensive (or intermediate) care unit admission Exclusion Criteria: Pre-hospital cardiac arrest Patient not expected to survive within the first 72 hours Uncontrolled haemodynamic instability despite initial resuscitation (systolic arterial blood pressure lower than 90 mmHg at the time of catheter insertion) Mechanical ventilation for severe traumatic brain injury (Abbreviated Injury Score, AIS, head \> 2) Spinal cord injury at the cervical or thoracic levels Hypovolaemia. Hypersensitivity to ropivacaine or other amide-bound local anaesthetics Subject in exclusion period of another interventional study Pregnant, breastfeeding women
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
14 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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CH Annecy Genevois
RECRUITINGÉpagny, 74370, France
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CHRU Hôpitaux De Tours
RECRUITINGTours, 37000, France
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CHU Bordeaux - Pellegrin
RECRUITINGBordeaux, 33000, France
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CHU Clermont-Ferrand
RECRUITINGClermont-Ferrand, 63000, France
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CHU Grenoble Alpes
RECRUITINGGrenoble, 38049, France
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CHU de Lille
RECRUITINGLille, 59000, France
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Chu Toulouse - Hopital Purpan
RECRUITINGToulouse, 69003, France
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Chu Toulouse - Hopital Rangueil
RECRUITINGToulouse, 31059, France
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Hopital Beaujon - AP-HP
RECRUITINGClichy, 92118, France
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Hôpital Européen Georges Pompidou - AH-HP
RECRUITINGParis, 75015, France
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Hôpital Lyon Sud
RECRUITINGPierre-Bénite, 69310, France
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Hôpital Pitie Salpetriere - AP-HP
RECRUITINGParis, 75013, France
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Hôpital d'Instruction des Armées Sainte Anne
RECRUITINGToulon, 83000, France
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Hôpital d'instruction des armées Percy
RECRUITINGClamart, 92140, France