Clinical trial Recruiting at 1 site Phase2; Phase3 Interventional Ages 25 to 65

Dexa vs Dexmedetomidine with Bupivacaine in TAP Block for Laparotomy Analgesia

Official title: Comparison Of Dexamethasone Versus Dexmedetomidine As An Adjuvant To 0.25% Bupivacaine In Ultrasound Guided Tap Block On Post-Op Analgesia Duration In Patients Undergoing Laparotomy

Run by Sahiwal medical college sahiwal · NCT07590752 · Data updated 2026-11-12

This study tests whether adding dexamethasone or dexmedetomidine to bupivacaine in a TAP block improves postoperative pain control after laparotomy.

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Quick facts

PhasePhase2; Phase3
Study typeInterventional
Ages25 Years to 65 Years
SexAll
Enrollment96 (estimated)
SponsorSahiwal medical college sahiwal
Government
Locations1 site (Sahiwal, Punjab Province)
StatusRecruiting
StartedMarch 3, 2024
Main results expectedJune 3, 2026
Study endsJuly 4, 2026
Registry record updatedMay 15, 2026
Trial IDNCT07590752 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are ASA I–II adults (25–65 years) scheduled for laparotomy without contraindications to TAP block or study drugs.

Probably not a fit

Patients with comorbidities or contraindications to study drugs, or those not responding to TAP block, may not experience benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Adults aged 25–65 undergoing laparotomy are randomized to receive a TAP block with bupivacaine plus either dexamethasone or dexmedetomidine as adjuvants. The blocks are performed bilaterally under ultrasound guidance at the end of surgery, with standard monitoring and consent procedures in place. Outcomes will focus on analgesia duration, time to first rescue analgesia, and total postoperative analgesic use. The trial is conducted at Sahiwal Teaching Hospital under the lead sponsorship of Sahiwal Medical College, with ethical approvals governing the two parallel groups of 48 patients each.

Why it matters

Potential benefit: If successful, the adjuvant-containing TAP block could provide longer pain relief and reduce opioid needs after laparotomy.

How similar studies have gone: Previous evidence suggests adjuvants like dexamethasone or dexmedetomidine can enhance regional anesthesia outcomes, supporting this approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patients undergoing laparotomy.
* Patients aged 25 to 65 years.
* Both genders.
* Patients with ASA Class I, II.

Exclusion Criteria:

* Patients who do not give consent.
* Patients with Comorbidities like DM, HTN, CKD, CLD.
* Patients with bleeding disorders.
* Infection at site of injection.
* Allergy to any drug, local anaesthetic, or other drugs used.
* Patients with polytrauma.

Where it's running

  • Sahiwal Medical College
    Sahiwal, Punjab Province, Pakistan
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 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.