Comparison Between Dexmedetomidine and Fentanyl As an Adjuvant to Bupivacaine in the Paravertebral Nerve Block in Laparoscopic Cholecystectomy for Postoperative Analgesia: Randomized Comparative Clinical Trial.
NCT06752629 · Status: NOT_YET_RECRUITING · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 50
Last updated 2024-12-31
Summary
Laparoscopic cholecystectomy is one of the most common surgeries today, cause it has many advantages over open cholecystectomy. Although these advantages pain remains a big problem after laparoscopic cholecystectomy which causes patient admission or readmission. This post-operative laparoscopic cholecystectomy pain causes extreme patient discomfort, extended post-anesthesia care unit stay and restricts early recovery.
To overcome this problem, there were trials of inta abdominal instillation with local anesthetics with no positive results , so they combined this with local infiltration at the laparoscopic access sites with no satisfactory postoperative analgesia.
The aim of this study is to evaluate the effect and the difference between dexmedetomidine and fentanyl in pre-operative unilateral (T5\&6) thoracic paravertebral block for postoperative analgesia in laparoscopic cholecystectomy
Conditions
- Laparoscopic Cholecystectomy
Interventions
- DRUG
-
Bupivacaine and Dexmedetomidine
Adult patients will take 10 ml Bupivacaine 0.5% plus 2ml solution of Dexmedetomidine 1mic/kg in the bilateral T5\&6 preoperatively
- DRUG
-
Bupivacaine and Fentanyl
Adult patients will take 10 ml Bupivacaine 0.5% plus 2ml solution of Fentanyl 20 microgram with the bilateral T5\&6 preoperatively
Sponsors & Collaborators
-
Assiut University
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 60 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2025-01-01
- Primary Completion
- 2026-01-01
- Completion
- 2026-03-01
- FDA Drug
- Yes
More Related Trials
-
M-TAPA vs Intraperitoneal Bupivacain vs Intraperitoneal Bupivacain +Dexmedetomidin
NCT06482229 ·Status: COMPLETED ·Phase: NA
-
Opioid Sparing Analgesia Continuous Intraoperative Infusion of Dexmedetomidine Versus Lidocaine for Laparoscopic Cholecystectomy
NCT05788393 ·Status: COMPLETED ·Phase: PHASE4
-
Dexmedetomidine Infusion as an Analgesic Adjuvant During Laparoscopic Cholecystectomy
NCT03211871 ·Status: UNKNOWN ·Phase: PHASE3
-
Postoperative Pain Management in Laparoscopic Cholecystectomies
NCT06326281 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Anesthesia With Propofol, Dexmedetomidine and Lidocaine Infusions for Laparoscopic Cholecystectomy
NCT01833819 ·Status: COMPLETED ·Phase: PHASE4
-
Unilateral Right-Sided Erector Spinae Plane Block for Analgesia in Laparoscopic Cholecystectomy: Does the Volume Matter? A Randomized Controlled Trial
NCT07027540 ·Status: NOT_YET_RECRUITING ·Phase: PHASE3
-
Intraperitoneal Dexamethasone vs Dexamethasone Plus Magnesium Sulphate for Pain Relief in Laparoscopic Cholecystectomy
NCT03643666 ·Status: UNKNOWN ·Phase: PHASE3
-
Analgesic Efficacy of Adding Dexmedetomidine to Erector Spinae Plane Block Versus Subcostal Transverse Abdominis Plane Block in Laparoscopic Cholecystectomy
NCT07075913 ·Status: COMPLETED ·Phase: NA
-
Comparative Study of Opioid-Free Anesthesia Versus Opioid Anesthesia in Patients Undergoing Laparoscopic Cholecystectomy
NCT06736496 ·Status: NOT_YET_RECRUITING ·Phase: PHASE4
-
Dexamethasone/ Erector Spinae Plane Block Analgesia in Laparoscopic Cholecystectomy
NCT05105997 ·Status: UNKNOWN ·Phase: PHASE2
-
Postoperative Pain After Instillation Of Bupivacaine During Laparoscopic Cholecystectomy
NCT07098429 ·Status: COMPLETED ·Phase: PHASE4
-
Fentanyl vs. Remifentanil in Laparoscopic Cholecystectomy: Effects on Bowel Function and Pain
NCT07182097 ·Status: RECRUITING ·Phase: NA
-
Effectiveness of Fentanyl-Added TAP Block in Laparoscopic Cholecystectomy
NCT06778668 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
External Oblique Intercostal Block Versus Paravertebral Block for Postoperative Analgesia in Laparoscopic Cholecystectomy Patients
NCT06201364 ·Status: NOT_YET_RECRUITING ·Phase: PHASE3
-
EOIB for Laparoscopic Cholecystectomy
NCT06656299 ·Status: RECRUITING ·Phase: NA
-
Dexamethasone-Enhanced TAP Block in Lapchole
NCT07182110 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1
-
Adjuvant Effect of Dexmedetomidine in Ultrasound (USG) Guided Transvers Abdominis Plane Block
NCT02331563 ·Status: WITHDRAWN ·Phase: PHASE3
-
Effect of Desflurane Versus Sevoflurane With Recent Bio-markers on Renal and Hepatic Functions
NCT05027191 ·Status: COMPLETED
-
Quadratus Lumborum Block vs Transversus Abdominis Plane Block for Post-cholecystectomy Analgesia
NCT03323684 ·Status: COMPLETED ·Phase: NA
-
Adding Magnesium Sulfate to Bupivacaine in Ultrasound Guided Paravertebral Block for Laparoscopic Cholecystectomy
NCT05099250 ·Status: COMPLETED ·Phase: NA
-
Intraperitoneal Analgesia After Laparoscopic Cholecystectomy
NCT00950625 ·Status: COMPLETED ·Phase: NA
-
Laparoscopic-Assisted Transversus Abdominus Plane Block Versus Intraperitoneal Irrigation of Local Anesthetic for Patients Undergoing Laparoscopic Cholecystectomy
NCT06714279 ·Status: RECRUITING ·Phase: PHASE1
-
Nonopioid Analgesics and Cholecystectomy
NCT04622813 ·Status: COMPLETED ·Phase: PHASE3
-
Effect of Intravenous Dexmedetomidine on Patient Discomfort in Laparoscopic Cholecystectomy Under Spinal Anesthesia.
NCT04115449 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
COMPARISON OF INTRAOPERATIVE LOCAL ANESTHETIC APPLICATIONS IN POSTOPERATIVE PAIN MANAGEMENT IN LAPAROSCOPIC CHOLECYSTECTOMY PATIENTS
NCT03790007 ·Status: COMPLETED ·Phase: PHASE4