Using Nalbuphine with Bupivacaine for Pain Relief in Thyroid Surgery

The Analgesic Efficacy of Perineural Nalbuphine as an Adjuvant to Bupivacaine in Ultrasound Guided Superficial Cervical Plexus Nerve Block for Thyroid Surgeries. A Double Blinded Randomized Controlled Trial.

Phase 2 Interventional Cairo University · NCT06633068

This study is testing whether adding nalbuphine to bupivacaine can help people feel less pain after thyroid surgery and reduce the need for stronger pain medications.

Quick facts

PhasePhase 2
Study typeInterventional
Enrollment54 (estimated)
Ages18 Years to 60 Years
SexAll
SponsorCairo University Academic / other
Locations1 site (Giza, الجيزة)
Trial IDNCT06633068 on ClinicalTrials.gov

What this trial studies

This study evaluates the effectiveness of adding nalbuphine as an adjuvant to bupivacaine in providing pain relief during and after thyroid surgeries. It focuses on the analgesic effects in the first 24 hours post-operation, measuring factors such as the need for rescue analgesia and the incidence of complications like nausea and respiratory depression. The approach involves a double-blinded randomized controlled trial design to ensure unbiased results. The goal is to improve postoperative pain management while minimizing opioid-related side effects.

Who should consider this trial

Good fit: Ideal candidates are patients aged 18 to 60 years undergoing elective thyroid surgery with ASA I and II classifications.

Not a fit: Patients with hypersensitivity to nalbuphine or bupivacaine, or those with significant comorbidities such as hepatic, cardiac, or renal diseases may not benefit from this study.

Why it matters

Potential benefit: If successful, this approach could significantly enhance pain management for patients undergoing thyroid surgery while reducing reliance on opioids.

How similar studies have performed: Other studies have shown promising results with similar approaches in pain management, suggesting potential for success in this trial.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patients aged between 18 to 60 years old of both sexes undergoing elective thyroid surgery.
* ASA I and II.

Exclusion Criteria:

* Patient refusal.
* Hypersensitivity or contraindication to nalbuphine or bupivacaine.
* Pregnancy or lactating mothers.
* Hepatic, cardiac or renal diseases.
* Bleeding disorders.
* Severe neurological or psychological disorders.
* Goitres with retrosternal extension.
* Any anatomical disruption in the neck (ex: metastatic lymph nodes).

Where this trial is running

Giza, الجيزة

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Intra and Postoperative Pain Management
Last reviewed 2026-06-13 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.