Status:

RECRUITING

Dexamethasone Versus Magnesium Sulphate as an Adjuvant to Bupivacaine in Ultrasound Guided Erector Spinae Plane Block for Postoperative Analgesia in Elective Caesarean Section Under Spinal Anesthesia

Lead Sponsor:

Cairo University

Conditions:

Dexamethasone

Magnesium Sulphate

Eligibility:

All Genders

18-35 years

Phase:

NA

Brief Summary

This study aims to compare the efficacy of adding dexamethasone and magnesium sulfate as an adjuvant to bupivacaine in bilateral erector spinae block in postoperative pain control in patients undergoi...

Detailed Description

Caesarean section (CS) is the most common abdominal surgery among women worldwide. Inadequately treated postoperative pain can contribute significantly to morbidity of surgical patients, resulting in ...

Eligibility Criteria

Inclusion

  • Age from 18 to 35 years.
  • Full-term, singleton, pregnant women.
  • American Society of Anesthesiologists (ASA) physical status II.
  • Scheduled for elective cesarean delivery under spinal anesthesia.

Exclusion

  • Refusal of the patient.
  • Emergency caesarean sections.
  • Patients having chronic diseases as asthma, cardiovascular disorders (Significant arrhythmias, Severe Valvular diseases, congenital heart diseases, ischemic heart disease, cardiomyopathy, deep venous thrombosis ,and pulmonary embolism)
  • Renal impairment (Creatinine level ≥ 2mg/dl, urea ≥ 25mg/dL), liver impairment \[Alanine aminotransferase (ALT) \< 45 U/L, Aspartate aminotransferase (AST) \< 45 U/L\].
  • Allergy to the drug enrolled in the study.
  • Body mass index (BMI) ≥ 35 kg/m2.
  • Hypertensive disorders of pregnancy.
  • Contraindication to spinal anesthesia, such as coagulopathy \[platelet count \<150.000, international normalized ratio (INR) \> 1.2\], or local infection.
  • Requirement for conversion to general anesthesia after spinal anesthesia will also be excluded.

Key Trial Info

Start Date :

December 1 2023

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2025

Estimated Enrollment :

150 Patients enrolled

Trial Details

Trial ID

NCT07139522

Start Date

December 1 2023

End Date

December 1 2025

Last Update

August 24 2025

Active Locations (1)

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1

Cairo University

Cairo, Egypt, 12613