Comparison of Intrathecal Nalbuphine Versus Intrathecal Tramadol as Adjuvants in Subarachnoid Block for Lower Limb Orthopaedic Surgeries
NCT07294352 · Status: ACTIVE_NOT_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 40
Last updated 2026-03-18
Summary
This study compares the use of intrathecal nalbuphine versus intrathecal tramadol as adjuvant agents to local anaesthetics in subarachnoid block for lower-limb orthopaedic surgeries. The primary objective is to determine whether there is a meaningful difference between the two drugs in terms of quality and duration of intraoperative and postoperative analgesia. Secondary outcomes include onset and efficacy of sensory and motor block, time to first rescue analgesia, incidence of adverse effects, and perioperative hemodynamic stability. By evaluating these parameters, the study aims to identify which adjuvant provides superior analgesic benefits with fewer side effects in patients undergoing lower-limb orthopedic procedures.
Conditions
- Adjuvants, Anesthesia
- Subarachnoid Block
Interventions
- DRUG
-
Intrathecal tramadol with spinal anesthsia
intrathecal tramadol 20mg with Hyperbaric 0.5% bupivacaine
- DRUG
-
Intrathecal nalbuphine and spinal anesthesia
intrathecal nalbuphine 1mg with 0.5% Hyperbaric Bupivacaine
Sponsors & Collaborators
-
CMH Lahore Medical College and Institute of Dentistry
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2026-01-01
- Primary Completion
- 2026-07-01
- Completion
- 2026-08-01
Countries
- Pakistan
Study Locations
More Related Trials
-
Fascia Iliaca Compartment Block and Tramadol for Analgesia in Hip Fracture
NCT06728033 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Effects of Systemic or Adjunct Tramadol Addition to Lidocaine Used for IVRA in Patients Undergoing Hand Surgery
NCT02658721 ·Status: COMPLETED ·Phase: PHASE3
-
Is Analgesic Effect of Low Dose Ketamine-midazolam the Same as Morphine
NCT01807429 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Comparison of the Efficacy of Intraperitoneal Instillation of Fentanyl Versus Nalbuphine As Adjuvants to Bupivacaine for Postoperative Pain Relief in Patients Undergoing Laparoscopic Cholecystectomy
NCT06722963 ·Status: NOT_YET_RECRUITING ·Phase: PHASE4
-
Intravenous Tramadol and Magnesium Sulphate for Prevention of Shivering
NCT06612996 ·Status: NOT_YET_RECRUITING ·Phase: PHASE4
-
Post-Operative Analgesic Effect of Tramadol and Nalbuphine in Smoker and Non-Smoker Patients in LC
NCT07049380 ·Status: ACTIVE_NOT_RECRUITING
-
Comparing Efficacy of Intravenous Dexmedetomidine and Lidocaine on Postoperative Analgesia in Patients Undergoing Fracture Hip Surgery
NCT06865469 ·Status: NOT_YET_RECRUITING ·Phase: PHASE3
-
Nonopioid Pain Control Regimen After Open Reduction and Internal Fixation of Traumatic Fractures
NCT06113211 ·Status: RECRUITING ·Phase: PHASE4
-
Advantage of Tramadol in Local Analgesia Post-Sternotomy
NCT02851394 ·Status: COMPLETED ·Phase: PHASE4
-
Nefopam vs Tramadol in the Prevention of Post Anaesthetic Shivering
NCT02441673 ·Status: UNKNOWN ·Phase: PHASE2
-
Tramadol Versus Placebo and Morphine in the Management of Post-Operative Pain Abdominoplasty
NCT03774836 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
Comparison of Magnesium Sulphate vs Tramadol as Adjuvants in Intrathecal Bupivacaine for Postoperative Pain in TURP Patients
NCT07113782 ·Status: COMPLETED ·Phase: PHASE4
-
Tap Block vs Peritoneal Infiltration After Major Gynecological Surgeries
NCT04037878 ·Status: COMPLETED ·Phase: NA
-
Effect of Butorphanol Combined With Flurbiprofen Axetil on Preventing Hyperalgesia Induced by Remifentanil in Patients
NCT02043366 ·Status: COMPLETED ·Phase: NA
-
Efficacy of Tramadol With Levobupivacaine for Modified Pectoral Nerve Block
NCT02625506 ·Status: COMPLETED ·Phase: NA
-
Comparison of Butorphanol and Tramadol Associated Patient-Controlled Analgesia (PCA) After Hysterectomy
NCT00510666 ·Status: COMPLETED ·Phase: PHASE4
-
The Efficacy of Adductor-Canal-Blockade on Pain and Morphine Consumption After Total Knee Arthroplasty
NCT01261897 ·Status: COMPLETED ·Phase: PHASE4
-
Adjuvant Analgesic Effects of Low Dose Tramadol/Acetaminophen Combination After Open Gynaecological Surgery
NCT00942565 ·Status: COMPLETED ·Phase: PHASE4
-
Wound Infiltration With Tramadol, Dexmedetomidine, or Magnesium Plus Ropivacaine for Pain Relief After Spine Surgery
NCT04391855 ·Status: COMPLETED ·Phase: PHASE4
-
Tramadol vs.Tramadol With Paracetamol
NCT03482492 ·Status: COMPLETED ·Phase: NA
-
Intraoperative Pectoral Block vs IV Analgesia for Pain After Modified Radical Mastectomy
NCT07257874 ·Status: COMPLETED ·Phase: PHASE3
-
Oral Treatment for Orthopaedic Post-operative Pain With Dexketoprofen Trometamol and Tramadol Hydrochloride
NCT01902134 ·Status: COMPLETED ·Phase: PHASE3
-
Intraarticular Analgesia After Total Hip Arthroplasty, a Randomised Study
NCT00289419 ·Status: COMPLETED ·Phase: PHASE4
-
Continuous Infusion of Dexamethasone Plus Tramadol Adjunct to Morphine PCA After Abdominal Hysterectomy
NCT00564603 ·Status: COMPLETED ·Phase: PHASE4
-
Postoperative Pain Relieve for Patients Undergoing Surgical Treatment of Femoral Fracture
NCT05920642 ·Status: COMPLETED ·Phase: PHASE4