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Trial · NCT02604589

Continuous Intercostal Nerve Blockade for Traumatic Rib Fractures

NCT02604589, Not applicable, Terminated, Anthony Iacco; results first posted 2017-05-12

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Continuous Intercostal Nerve Blockade for Traumatic Rib Fractures. Trials, record NCT02604589. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02604589

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Continuous Intercostal Nerve Blockade for Traumatic Rib Fractures
NCT number
NCT02604589
Status
Terminated
Phases
Not applicable
Enrollment
10 participants, actual
Lead sponsor
Anthony Iacco
Conditions
Rib Fractures
Interventions
hydromorphone hydrochloride, Infusion catheter placement, bupivicaine 0.25%, bupivicaine 0.5%
First posted
2015-11-13
Last updated
2017-05-12
Results first posted
2017-05-12
Limitations and caveats
Study terminated early due to lack of enrollment.

Source ClinicalTrials.gov

Registered outcomes7

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNarcotic Use3 days or hospital length of stay, if less than 3 daysQuantity of systemic narcotic used (hydromorphone hydrochloride, Dilaudid) averaged per day over the length of hospital stay, in mg/24 hours.
SecondaryTime to Improvement in Pulmonary Function3 days or hospital length of stay, if less than 3 days
Determine the impact of catheter-infused medications on maximal inspiratory lung volume measured by incentive spirometer (IS) as a change from baseline at 24, 48, 72 hours and at 3 days post catheter placement or at discharge (or PCA placement in comparator group). Endpoint will be the time to improvement of vital capacity to greater than 1.4 liters (or 15 mL/kg).
SecondaryTime to Improvement in Pain Intensity3 days or hospital length of stay, if less than 3 days
Determine the impact of catheter-infused medications on self-reported pain intensity reported as a change from baseline (admission) at 24, 48, 72 hours and at 3 days post catheter placement or at discharge (or PCA placement in comparator group) on a 0-10 point Likert scale, with 0=no pain, and 10= the worst pain ever. Response will be defined as time to a decrease of at least two points on the scale.
SecondaryMorbidity3 days or hospital length of stay, whichever is longer
Collection of complications observed at any point during the hospital admission that included randomization, including pneumothorax, hemothorax, acute respiratory distress syndrome, pneumonia, empyema, need for tracheostomy, need for mechanical ventilation, length of time on mechanical ventilation, and an assessment of the degree of association of each event with the catheter insertion procedure or with underlying trauma. Each of these outcomes will be scored as yes/no.
SecondaryMortality30 daysAll cause death, death associated with infusion catheter, within 30 days from date of randomization. This outcome will be scored as yes/no and cause of death will be collected.
SecondaryHospital Length of Stayfrom randomization to discharge, usually within the range of 5-15 daysInteger days of inpatient admission in the hospital stay that included randomization.
SecondarySurgical Intensive Care Unit (SICU) Length of Stayfrom admission to Surgical Intensive Care unit to discharge from Surgical Intensive Care UnitInteger days of admission to the surgical intensive care unit. For patients not requiring admission to surgical intensive care, patient is not analyzed. Usual range is 3-5 days.

Outcomes7

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNarcotic Use3 days or hospital length of stay, if less than 3 daysOne subject withdrawn in Bupivicaine 0.5% (HIGH DOSE) groupmg/24 hours over days 1-3MEAN
SECONDARYTime to Improvement in Pulmonary Function3 days or hospital length of stay, if less than 3 daysOne subject withdrawn in Bupivicaine 0.5% (HIGH DOSE) group. This leaves only one member to analyze; therefore standard deviation = 0.daysMEAN
SECONDARYTime to Improvement in Pain Intensity3 days or hospital length of stay, if less than 3 daysOne subject withdrawn in Bupivicaine 0.5% (HIGH DOSE) group. Only one subject remains to be analyzed in that group so standard deviation = 0daysMEAN
SECONDARYMorbidity3 days or hospital length of stay, whichever is longerOne subject withdrawn in Bupivicaine 0.5% (HIGH DOSE) groupnumber of complicationsNUMBER
SECONDARYMortality30 daysOne subject withdrawn in Bupivicaine 0.5% (HIGH DOSE) groupParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYHospital Length of Stayfrom randomization to discharge, usually within the range of 5-15 daysOne subject withdrawn in Bupivicaine 0.5% (HIGH DOSE) group. This leaves only one subject to analyze, so standard deviation =0daysMEAN
SECONDARYSurgical Intensive Care Unit (SICU) Length of Stayfrom admission to Surgical Intensive Care unit to discharge from Surgical Intensive Care UnitOnly patients analyzed who had surgical intensive care unit admission.daysMEAN

Results by group20

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Narcotic UsePCA Only3.7Standard Deviation 3.5mg/24 hours over days 1-3
Narcotic UseBupivicaine 0.25% (LOW DOSE)8.2Standard Deviation 5.16mg/24 hours over days 1-3
Narcotic UseBupivicaine 0.5% (HIGH DOSE)2.5Standard Deviation 0mg/24 hours over days 1-3
Time to Improvement in Pulmonary FunctionPCA Only1.7Standard Deviation 1.5days
Time to Improvement in Pulmonary FunctionBupivicaine 0.25% (LOW DOSE)1.8Standard Deviation 1.6days
Time to Improvement in Pulmonary FunctionBupivicaine 0.5% (HIGH DOSE)1.0Standard Deviation 0days
Time to Improvement in Pain IntensityPCA Only2.0Standard Deviation 0days
Time to Improvement in Pain IntensityBupivicaine 0.25% (LOW DOSE)3.0Standard Deviation 0days
Time to Improvement in Pain IntensityBupivicaine 0.5% (HIGH DOSE)1.0Standard Deviation 0days
MorbidityPCA Only0number of complications

Participant flow9

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDPCA Only3
Overall StudySTARTEDBupivicaine 0.25% (LOW DOSE)5
Overall StudySTARTEDBupivicaine 0.5% (HIGH DOSE)2
Overall StudyCOMPLETEDPCA Only3
Overall StudyCOMPLETEDBupivicaine 0.25% (LOW DOSE)5
Overall StudyCOMPLETEDBupivicaine 0.5% (HIGH DOSE)1
Overall StudyNOT COMPLETEDPCA Only0
Overall StudyNOT COMPLETEDBupivicaine 0.25% (LOW DOSE)0
Overall StudyNOT COMPLETEDBupivicaine 0.5% (HIGH DOSE)1

Adverse events12

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherConstipationGastrointestinal disordersPCA Only030
otherConstipationGastrointestinal disordersBupivicaine 0.25% (LOW DOSE)151
otherConstipationGastrointestinal disordersBupivicaine 0.5% (HIGH DOSE)010
otherLow urine outputRenal and urinary disordersPCA Only030
otherLow urine outputRenal and urinary disordersBupivicaine 0.25% (LOW DOSE)151
otherLow urine outputRenal and urinary disordersBupivicaine 0.5% (HIGH DOSE)010
otherAnemiaBlood and lymphatic system disordersPCA Only030
otherAnemiaBlood and lymphatic system disordersBupivicaine 0.25% (LOW DOSE)151
otherAnemiaBlood and lymphatic system disordersBupivicaine 0.5% (HIGH DOSE)010
otherUrinary RetentionRenal and urinary disordersPCA Only131

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPCA Only
Total, all-cause mortalityBupivicaine 0.25% (LOW DOSE)
Total, all-cause mortalityBupivicaine 0.5% (HIGH DOSE)
Total, other adverse eventsPCA Only13
Total, other adverse eventsBupivicaine 0.25% (LOW DOSE)25
Total, other adverse eventsBupivicaine 0.5% (HIGH DOSE)01
Total, serious adverse eventsPCA Only03
Total, serious adverse eventsBupivicaine 0.25% (LOW DOSE)05
Total, serious adverse eventsBupivicaine 0.5% (HIGH DOSE)01

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02604589

GET https://conductscience.org/api/trials/v1/NCT02604589/registered