Comparing Dexamethasone and Dexmedetomidine for Pain Management After Hip Surgery

Dexamethasone vs. Dexmedetomidine for ESPB in Pain Management After Hip Arthroplasty

Phase 4 Interventional Poznan University of Medical Sciences · NCT06233604

This study is testing whether Dexamethasone or Dexmedetomidine can help manage pain better after hip surgery, so patients can recover faster with less need for strong pain medicine.

Quick facts

PhasePhase 4
Study typeInterventional
Enrollment30 (estimated)
Ages18 Years to 100 Years
SexAll
SponsorPoznan University of Medical Sciences Academic / other
Locations1 site (Poznan, Poznań)
Trial IDNCT06233604 on ClinicalTrials.gov

What this trial studies

This study investigates the effects of perineurial Dexamethasone and Dexmedetomidine on the duration of erector spinal plane blocks in patients undergoing hip arthroplasty. The goal is to enhance postoperative pain management while ensuring safety by potentially allowing for lower doses of local anesthetics. By comparing these two adjuvants, the study aims to identify which provides better pain relief and faster recovery. This research addresses a significant gap in existing literature regarding their use in spine surgery.

Who should consider this trial

Good fit: Ideal candidates are adults aged 18 to 100 years undergoing primary hip arthroplasty with ASA physical status 1, 2, or 3.

Not a fit: Patients with severe comorbidities, such as ASA 4 or 5, or those with a history of opioid abuse will not benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to improved pain management strategies for patients undergoing hip arthroplasty.

How similar studies have performed: While there is considerable research on dexamethasone and dexmedetomidine in other contexts, this specific application in spine surgery is relatively novel.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* patients undergoing primary hip arthroplasty
* aged \>18 years and \<100 years
* ASA physical status 1, 2 or 3.

Exclusion Criteria:

* if they refused to participate,
* had a history of opioid abuse,
* had an infection of the site of needle puncture,
* were less than 18 years of age,
* were postponed as having ASA 4 or 5,
* had an allergy to any of the drugs used in the study,
* renal failure (estimated glomerular filtration rate \<15ml/min/1.73m2),
* liver failure,
* known or suspected coagulopathy,
* pre-existing anatomical or neurological disorders in the lower extremities,
* intellectual disability with problems in pain evaluation,
* severe psychiatric illness.

Where this trial is running

Poznan, Poznań

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Hip OsteoarthritisHip ArthropathyHip Pain Chronic
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.