Improving pain management and recovery after cesarean delivery
Official title: Quality of Postoperative Analgesia and Functional Recovery After Elective Cesarean Delivery Adding Different Doses of Intrathecal Fentanyl to Spinal Anesthesia With Bupivacaine and Intrathecal Morphine. A Single Center, Randomized, Multiple Blinded, Controlled Trial
Run by Ente Ospedaliero Cantonale, Bellinzona · NCT06355271 · Data updated 2026-11-12
This study tests if adding fentanyl to spinal anesthesia helps women have less pain and recover better after a cesarean delivery.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | Women only |
| Enrollment | 63 (estimated) |
| Sponsor | Ente Ospedaliero Cantonale, Bellinzona Academic / other |
| Locations | 1 site (Bellinzona) |
| Status | Recruiting |
| Started | June 12, 2024 |
| Main results expected | December 31, 2027 |
| Study ends | December 31, 2027 |
| Registry record updated | March 16, 2026 |
| Trial ID | NCT06355271 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adult women over 18 years old, scheduled for elective cesarean delivery, and in good health (ASA physical status I or II).
✕Probably not a fit
Patients who may not benefit include those with contraindications to spinal anesthesia, such as hemodynamic instability or infections at the surgery site.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study investigates the effectiveness of different doses of fentanyl combined with spinal anesthesia for patients undergoing elective cesarean deliveries. Participants will be randomly assigned to receive either a standard spinal anesthesia or one with an added dose of fentanyl. The study will monitor postoperative pain levels and functional recovery over a 24-hour period following surgery. The aim is to determine if the addition of fentanyl improves analgesia and recovery outcomes compared to the standard treatment.
Why it matters
Potential benefit: If successful, this study could lead to enhanced pain management and quicker recovery for patients after cesarean deliveries.
How similar studies have gone: Previous studies have shown promising results with the use of fentanyl in spinal anesthesia for postoperative pain management, suggesting this approach may be effective.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * patients over 18 year of age * height over 160 cm * American Society Anesthesiologists physical status I and II * term singleton parturients * scheduled for elective cesarean delivery during spinal anesthesia at Ospedale Regionale Bellinzona Valli Exclusion Criteria: * patients with inability to consent * patient refusal * contraindication to spinal anesthesia (eg, hemodynamic instability, infection at the surgery site, and neurologic defects such as transverse myelitis) * emergency cesarean delivery * preeclampsia/eclampsia * allergy to drugs used in the protocol
Where it's running
-
Ospedale Regionale di Bellinzona, San Giovanni
Bellinzona, Switzerland Recruiting
Study contacts
- Study coordinator: Roberto Dossi
- Email: roberto.dossi@eoc.ch
- Phone: 0918119341
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Using electrical stimulation to confirm epidural catheter placement in laboring women
This study tests if using electrical stimulation can help confirm the correct placement of epidural catheters for women in labor who want pain relief.
-
Quality of life after open repair for complex abdominal aortic aneurysms
This project will use the SF-36 questionnaire to see how open surgical repair affects quality of life over one year in adults having open surgery for complex abdominal aortic aneurysms.
-
Music to reduce stress during wound dressing
The team will try playing music chosen by hospitalized adults during wound dressing to see if it reduces stress and improves the experience.
-
Using virtual reality to reduce the need for preoperative sedative medication
This trial will try virtual reality to see if it reduces the need for sedative premedication in adults who request medication before elective surgery.
-
Fixing a broken elbow with a metal plate versus non-surgical care in older adults
This test sees if using a metal plate to fix a displaced olecranon fracture helps older adults with low arm demands recover better and regain arm function than non-surgical treatment.
-
Pudendal nerve block versus sacral erector spinae (ESP) block for pain after hemorrhoidectomy
This will test whether the sacral erector spinae (ESP) block gives equal or better pain relief than the pudendal nerve block for adults having elective hemorrhoid surgery.
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.