Lidocaine versus lidocaine plus dexmedetomidine for IV regional anesthesia in upper limb surgery
Official title: Comparison of Lidocaine Alone Versus Lidocaine With Dexmedetomidine for Intravenous Regional Anesthesia (IVRA)
Run by Fatima Memorial Hospital · NCT07034300 · Data updated 2026-11-12
This trial will test whether adding dexmedetomidine to lidocaine for intravenous regional anesthesia gives better pain relief and longer-lasting analgesia for adults having elective upper limb surgery under 45 minutes.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 60 Years |
| Sex | All |
| Enrollment | 90 (estimated) |
| Sponsor | Fatima Memorial Hospital Academic / other |
| Locations | 1 site (Lahore, Punjab Province) |
| Status | Recruiting |
| Started | May 21, 2025 |
| Main results expected | August 21, 2025 |
| Study ends | August 31, 2025 |
| Registry record updated | June 24, 2025 |
| Trial ID | NCT07034300 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults scheduled for elective upper limb surgery under 45 minutes who are ASA physical status I–II and do not have sleep apnea, BMI >30, heart block, or uncontrolled hypertension.
✕Probably not a fit
Patients with sleep apnea, BMI over 30, heart block, uncontrolled hypertension, or those needing longer or different types of surgery are unlikely to benefit from participation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Participants undergoing elective upper limb surgery under 45 minutes receive intravenous regional anesthesia with a pneumatic tourniquet and injection of local anesthetic into the isolated limb. One group will receive lidocaine alone and the other will receive lidocaine combined with dexmedetomidine. Pain scores, duration of analgesia, and tourniquet-related discomfort will be recorded to compare the two approaches. Patients must be ASA I–II and meet exclusion criteria such as sleep apnea, BMI over 30, heart block, or uncontrolled hypertension.
Why it matters
Potential benefit: If successful, adding dexmedetomidine could provide longer postoperative pain relief and reduce intraoperative tourniquet discomfort.
How similar studies have gone: Previous trials of adding dexmedetomidine or other alpha-2 agonists to regional anesthetics have often shown prolonged analgesia and reduced opioid needs, though results and side-effect profiles have varied.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * American Society of Anesthesiology Status I * American Society of Anesthesiology Status II * Elective surgery * Surgery duration \<45 minutes Exclusion Criteria: * Sleep apnea * BMI \>30 * Heart block * uncontrolled hypertension
Where it's running
-
Department of Anesthesiology, Fatima Memorial Hospital
Lahore, Punjab Province, Pakistan Recruiting
Study contacts
- Principal investigator: Muhammad M Younas, MBBS — Fatima Memorial Hospital
- Study coordinator: Muhammad M Younas, MBBS
- Email: mansoor.gujjar344@gmail.com
- Phone: +923441346810
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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.