New study tests better pain relief for broken ribs
NCT ID NCT06519929
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This pilot study compares three pain relief methods for people with three or more broken ribs on one side. Participants will receive either a nerve block with a numbing medicine, a lidocaine infusion, or standard pain care. The goal is to see which approach reduces opioid use and improves breathing over the first three days.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Ropivacaine (nerve block) and lidocaine (infusion)
- What this could lead to
- If successful, this study could point toward better pain management for rib fractures, reducing opioid use and improving recovery.
- What could go wrong
- This is a very small pilot study with only 24 participants, so results may not apply broadly. The interventions carry risks like allergic reactions or nerve damage.
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
-
Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
-
About 24 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Sep 2024
- Expected to finish
-
Dec 2025
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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55 years and older
- Sex
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Anyone
- Healthy volunteers
-
Accepted
You do not need to have the condition being studied to take part.
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: * ≥ 55 years old * Sustained 3 or more unilateral rib fractures and are admitted to the hospital Exclusion Criteria: * Allergy to amide local anesthetics or any study medications * Pregnancy * Bilateral rib fractures * Coagulopathy (INR \> 1.5; platelets \< 100,000) * Conduction block on EKG * Spine fracture at the level of intended ESP block * Infection near the ESP insertion site or active bacteremia or sepsis * Any patient deemed a poor candidate for ESP block and/or lidocaine infusion will also be excluded
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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.
Contacts and locations
Locations
-
Thomas Jefferson University Hospital
Philadelphia, Pennsylvania, 19107, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Two drugs, one nerve block: which keeps rib fracture pain away longer?
- Fixing broken ribs with surgery may cut pain better than drugs alone
- Topical gel could ease rib fracture pain in the ER
- Can a simple patch replace opioids for broken ribs in seniors?
- Ultrasound-Guided epidurals: a missed opportunity?
- Pain relief showdown for broken ribs: IV lidocaine vs nerve block