Ultrasound-guided regional nerve block versus general anesthesia for awake tympanoplasty

Is this trial a fit for you?

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

What this trial studies

Adults scheduled for elective unilateral tympanoplasty at Zagazig University Hospitals will receive either an ultrasound-guided regional nerve block for an awake procedure or standard general anesthesia, and the two groups will be compared on intraoperative and postoperative outcomes. Primary comparisons include time to discharge from the post-anesthesia care unit, intraoperative hemodynamics, quality of the surgical field, and block success rate (conversions to general anesthesia). Postoperative measures include pain scores (Numerical Rating Scale), time to first analgesic request, opioid consumption, and patient and surgeon satisfaction. The study will also monitor for block-related and surgery-related complications such as nerve injury, hematoma, local anesthetic toxicity, nausea, and vomiting.

Why it matters

Who can join: the full rules

Inclusion Criteria:

1. Patients acceptance
2. Age: 21-65 years old
3. Sex: both sex (males or females).
4. Physical status: American Society Anesthesiologist (ASA) І and II.
5. Patients will be scheduled for elective unilateral tympanoplasty.

Exclusion Criteria:

1. Contraindication of regional anesthesia: Coagulopathy or use of anticoagulant therapy -local infection at the site of injection- known allergy to local anesthetics (bupivacaine).
2. Neurological disorders affecting sensation in the head and neck.
3. Psychiatric illness, severe anxiety, or inability to cooperate during awake surgery.
4. History of previous neck or parotid surgery affecting nerve anatomy.
5. BMI \> 35 (if it may interfere with ultrasound visualization or landmark identification).
6. Pregnancy.
7. Advanced cardiovascular, respiratory, hepatic and renal diseases

Where it's running

• faculty of human medicine, Zagazig university hospitals
  Zagazig, Egypt Recruiting

Study contacts

• Study coordinator: Dina Salem, MD
• Email: dinamaghraby@yahoo.com
• Phone: 0109933513

Similar studies

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

• Listening to music during breast surgery may reduce propofol use

  In adults undergoing elective breast surgery, listening to self-selected music during anesthesia is being tested to see if it lowers the total amount of propofol needed.

  Recruiting Uludag University · Bursa, Bursa · NCT07687095

• PENG block plus local infiltration analgesia for anterior-approach hip replacement

  This test sees if a motor-sparing PENG block combined with local infiltration around the hip controls pain as well as spinal anesthesia for adults having anterior‑approach hip replacement.

  Recruiting ASST Gaetano Pini-CTO · Milan · NCT07239817

• Comparing different methods of pain management during bariatric surgery

  This study is testing three different ways to manage pain during weight loss surgery to see which one works best while reducing the need for opioids.

  Recruiting Jagiellonian University · Krakow, Lesser Poland Voivodeship · NCT06793527

• Comparing two regional anesthesia techniques for knee replacement

  This trial tests whether ultrasound-guided supra-inguinal fascia iliaca block or ultrasound-guided adductor canal block (with iPACK as part of the regimen) gives better pain control and less opioid use for adults having total knee replacement.

  Recruiting SB Istanbul Education and Research Hospital · Istanbul · NCT07092982

• Comparing two methods of pain relief after cesarean delivery

  This study is testing which pain relief method, Surgical Transversus Abdominis Plane Block or Ultrasound Guided TAPB, works better for women having a cesarean delivery.

  Recruiting Al-Azhar University · Cairo · NCT05750992

• Assessing tissue impedance to improve nerve block precision

  This study is testing how the resistance of different tissues can help doctors place needles more accurately during nerve blocks to improve success rates and reduce complications.

  Recruiting Lebanese American University · Beirut, Beirut · NCT06620471

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.