Status:

ACTIVE_NOT_RECRUITING

Pain Control and Side Effects in Cesarean Section Anesthesia: Comparison of Intrathecal Morphine and Fentanyl

Lead Sponsor:

University of Oradea

Collaborating Sponsors:

Oradea Pelican Clinic Hospital

Conditions:

Anaesthesia, Spinal

Eligibility:

FEMALE

18-50 years

Brief Summary

Intrathecal opioids are frequently combined with local anesthetics to optimize spinal anesthesia for cesarean delivery. Fentanyl, a lipophilic opioid, offers rapid onset and enhanced intraoperative an...

Detailed Description

Eligible patients will be allocated in a 1:1 ratio into one of two groups: Group F (Fentanyl): Hyperbaric bupivacaine 0.5% combined with fentanyl 25 µg. Group M+F (Morphine + Fentanyl): Hyperbaric bu...

Eligibility Criteria

Inclusion

  • American Society of Anesthesiologists (ASA) physical status class I-II.
  • Absence of significant past medical conditions.
  • No documented hypersensitivity to any study drug.
  • No history of chronic pain syndromes or regular analgesic consumption.
  • No anxiety or depressive disorders diagnosis.
  • Body weight ≥ 50 kg.
  • Scheduled for elective cesarean delivery.
  • Single fetus.

Exclusion

  • Patient refusal.
  • Contraindication of spinal anaesthesia.
  • Conversion from a natural delivery with or without an epidural anaesthesia started.
  • History of substance abuse or drug dependence.
  • Presence of acute or chronic fetal distress.
  • Preeclampsia.
  • Allergic reaction occurring after enrollment.
  • Refusal to receive protocol-specified analgesics or medications.
  • Requirement for surgical re-intervention within 72 hours postoperatively.
  • Previous administration of opioids or other central nervous system depressants prior to intervention.

Key Trial Info

Start Date :

August 1 2025

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

October 1 2025

Estimated Enrollment :

180 Patients enrolled

Trial Details

Trial ID

NCT07144410

Start Date

August 1 2025

End Date

October 1 2025

Last Update

August 27 2025

Active Locations (1)

Enter a location and click search to find clinical trials sorted by distance.

Page 1 of 1 (1 locations)

1

University of Oradea, Pelican Clinic Hospital

Oradea, Bihor County, Romania, 410505