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.
Quick facts
| Phase | Phase2; Phase3 |
|---|---|
| Study type | Interventional |
| Ages | 25 Years to 65 Years |
| Sex | All |
| Enrollment | 96 (estimated) |
| Sponsor | Sahiwal medical college sahiwal Government |
| Locations | 1 site (Sahiwal, Punjab Province) |
| Status | Recruiting |
| Started | March 3, 2024 |
| Main results expected | June 3, 2026 |
| Study ends | July 4, 2026 |
| Registry record updated | May 15, 2026 |
| Trial ID | NCT07590752 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
- Study coordinator: Dr Maryam Mumtaz, MBBS
- Email: Maryamsumra3@gmail.com
- Phone: 00923336238201
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.