Actively Recruiting

Phase 4
Age: 18Years +
All Genders
NCT07180940

Comparison of Perineural Dexamethasone Versus Dexmedetomidine as Adjuvants to Erector Spinae Plane Block in Lumbar Spine Surgery: A Randomized, Double-blind, Controlled Trial

Led by Poznan University of Medical Sciences · Updated on 2025-09-18

150

Participants Needed

1

Research Sites

69 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This clinical study aims to determine which of two medications-dexamethasone or dexmedetomidine-works better and is safer when used together with a local anesthetic (ropivacaine) in a type of nerve block called the erector spinae plane block (ESPB). This block helps reduce pain after lumbar spine surgery.

CONDITIONS

Official Title

Comparison of Perineural Dexamethasone Versus Dexmedetomidine as Adjuvants to Erector Spinae Plane Block in Lumbar Spine Surgery: A Randomized, Double-blind, Controlled Trial

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adults aged 18 years or older
  • Scheduled for elective lumbar spine surgery (e.g., decompression or fusion) via posterior approach
  • American Society of Anesthesiologists (ASA) physical status I-III
  • Body weight 65 50 kg
  • Ability to provide written informed consent
  • Expected postoperative hospitalization of at least 48 hours
Not Eligible

You will not qualify if you...

  • Known allergy or contraindication to ropivacaine, dexamethasone, or dexmedetomidine
  • Infection at or near the site of block placement
  • Coagulation disorders or current use of anticoagulant therapy (not discontinued per guidelines)
  • Chronic opioid use or opioid dependence
  • Neurological or psychiatric disorders interfering with pain assessment
  • Diabetes mellitus with poorly controlled glycemia (e.g., HbA1c > 8%)
  • Severe hepatic or renal dysfunction
  • Body mass index (BMI) > 40 kg/m�b2
  • Pregnancy or breastfeeding
  • Refusal or inability to cooperate with the study protocol

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Poznan University of Medical Sciences

Poznan, Poland, 62-701

Actively Recruiting

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Research Team

M

Malgorzata Reysner, M.D. Ph.D.

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

3

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Comparison of Perineural Dexamethasone Versus Dexmedetomidine as Adjuvants to Erector Spinae Plane Block in Lumbar Spine Surgery: A Randomized, Double-blind, Controlled Trial | DecenTrialz