Trial reportBMC anesthesiology2025
Comparison of the analgesic efficacy of ultrasound-guided superficial serratus anterior plane block and intercostal nerve block for rib fractures: a randomized controlled trial.
Trial report in BMC anesthesiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effect of ultrasound-guided fascial plane block (UGPB) on pain control of rib fractures: a systematic review and meta-analysis.BMC anesthesiology · 2026Pooled it
- Chilling the nerve, easing the pain?: A randomized clinical trial evaluating surgeon-administered bedside percutaneous cryoneurolysis for rib fracture pain.The journal of trauma and acute care surgery · 2026Trial
- Acute pain management in older adults presenting to the emergency department: a clinical review.Singapore medical journal · 2026Review
- Point-of-care ultrasound (POCUS) diagnosis of rib fractures.World journal of emergency surgery : WJES · 2025Review
- Article
- Ultrasound-guided intercostal nerve blocks for acute zoster pain: a retrospective, propensity score-matched, non-inferiority study.Journal of ultrasonography · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundVarious regional analgesic methods are frequently incorporated into multimodal analgesia strategies for managing rib fractures. This study aimed to compare the analgesic efficacy of ultrasound-guided superficial serratus anterior plane block (S-SAPB) and intercostal nerve block (ICNB) in patients with isolated rib fractures.
methodsThis randomized controlled trial included patients aged 18-65 years with unilateral isolated rib fractures (≤ 6 ribs) resulting from trauma. Patients underwent ultrasound-guided S-SAPB (20 ml 0.25% bupivacaine) or ICNB (3 ml 0.25% bupivacaine for each fractured rib). Pain levels were assessed using the Visual Analogue Scale (VAS) both prior to the procedure (Pre-Block, (T0)) and at specific time points following the intervention: 1st hour (T1), 2nd hour (T2), 4th hour (T4), 8th hour (T8), 16th hour (T16), and 24th hour (T24). The changes in observed values over time were expressed as delta (Δ).
resultsBoth S-SAPB and ICNB provided effective analgesia. In the first 4 h, ICNB demonstrated a greater reduction in VAS scores, particularly in patients with 10
conclusionsS-SAPB provides prolonged analgesia and may be preferable for managing rib fracture pain beyond the initial 8 h. However, ICNB offers superior pain relief in the early postoperative period, especially for lower rib fractures (10
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