Actively Recruiting

Phase 4
Age: 21Years - 60Years
All Genders
NCT05793060

Dexmedetomidine Versus Dexamethasone as Adjuvants to Bupivacaine for Intermediate Cervical Plexus Block

Led by Damanhour Teaching Hospital · Updated on 2026-01-12

60

Participants Needed

1

Research Sites

71 weeks

Total Duration

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AI-Summary

What this Trial Is About

Background: Many thyroidectomy patients suffer from postoperative pain that could delay early hospital discharge and place a significant burden on both the patient and the healthcare team. Bilateral intermediate cervical plexus block (ICPB) provides good analgesia for neck surgery, including thyroidectomy. However, the duration of a single-shot nerve block is usually short. Therefore, adjuvants are used in peripheral nerve blocks. Objectives: To compare the safety and efficacy of dexmedetomidine versus dexamethasone as adjuvants to bupivacaine in ultrasound-guided intermediate cervical plexus block in patients undergoing total thyroidectomy under general anesthesia. Patients and Methods: This is a randomized, double-blind, phase four, prospective clinical trial; carried out on 60 patients, who were candidates for total thyroidectomy under general anesthesia at our hospital. Patients were randomly allocated into two equal groups; group A, received bilateral ICPB with isobaric bupivacaine plus dexmedetomidine, and group B, received bilateral ICPB with isobaric bupivacaine plus dexamethasone.

CONDITIONS

Official Title

Dexmedetomidine Versus Dexamethasone as Adjuvants to Bupivacaine for Intermediate Cervical Plexus Block

Who Can Participate

Age: 21Years - 60Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • American Society of Anesthesiologists (ASA) physical status 64 II
  • Age from 21 to 60 years
  • Body Mass Index (BMI) 64 35 kg/m2
Not Eligible

You will not qualify if you...

  • ASA physical status > II
  • Age < 21 years or > 50 years
  • Body Mass Index (BMI) > 35 kg/m2
  • Bronchial asthma
  • Chronic obstructive pulmonary disease
  • Restrictive lung diseases
  • Sick sinus syndrome
  • Sinus bradycardia
  • Hypertension
  • Chronic hypotension
  • Ischemic heart disease
  • Coagulopathies
  • Hepatic insufficiency
  • Renal insufficiency
  • Diabetes mellitus
  • Peripheral neuropathy
  • Thyroid malignancy
  • Hyperthyroidism
  • Substernal goiter
  • Patients on beta-blockers
  • Patients using pacemakers
  • Alcohol or drug abuse
  • Allergy to the study drugs

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 1 location

1

Damanhour Teaching Hospital

Damanhūr, El-Beheira, Egypt

Actively Recruiting

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Research Team

A

Ahmed M Shaat, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

PREVENTION

Number of Arms

2

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Dexmedetomidine Versus Dexamethasone as Adjuvants to Bupivacaine for Intermediate Cervical Plexus Block | DecenTrialz