Actively Recruiting

Age: 65Years +
All Genders
ID07394816

The Effect of Ultrasound-Guided Fascial Plane Blocks on Postoperative Pulmonary Complications in Patients Undergoing Major Abdominal Surgery: A Prospective Observational Study

Led by Dr Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital · Updated on 2026-04-30

500

Participants Needed

1

Research Sites

2 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are examining whether using ultrasound-guided fascial plane blocks for pain relief can reduce the chance of lung complications after major abdominal surgery in adults aged 65 and older. This study is observational and compares patients who receive these nerve blocks with those who receive other standard pain relief methods during routine care. The focus is on lung problems that may happen within the first week after surgery. Patients are grouped based on the pain management method chosen by their anesthesia team during surgery. One group receives the ultrasound-guided nerve block as part of their usual care, while the other group receives other common pain treatments such as epidural analgesia, intravenous patient-controlled analgesia, or oral pain medications. The study does not influence these treatment decisions. Participants will be monitored for lung complications within seven days after surgery using established clinical criteria. Researchers will also track unplanned ICU admissions, hospital stay length, and survival at 30 days. No extra procedures or interventions are done for the study, and patients receive standard care throughout. The study is led by Dr Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital and runs from March 2026 to August 2026.

CONDITIONS

Brief Title

Can Ultrasound-Guided Fascial Plane Blocks Reduce Postoperative Pulmonary Complications After Major Abdominal Surgery?

Who Can Participate

Age: 65Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 65 years or older
  • Scheduled for elective major abdominal surgery such as colorectal, hepatobiliary, pancreatic, or gastric surgery
  • ASA physical status II-III
  • Ability to provide written informed consent
  • Planned use of general anesthesia with or without adjunct regional techniques
Not Eligible

You will not qualify if you...

  • Refusal or inability to provide informed consent
  • Known allergy or contraindication to local anesthetics
  • Coagulopathy or ongoing anticoagulant therapy contraindicating regional anesthesia
  • Infection at the site of planned block
  • Pre-existing chronic opioid use or chronic pain syndrome
  • Severe hepatic, renal, or cardiac failure such as Child-Pugh C, end-stage renal disease, or ejection fraction less than 30%
  • Cognitive impairment or severe dementia preventing adequate pain assessment
  • Emergency surgery
  • Body mass index greater than 40 kg/m²

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Surgery and Immediate Post-operative Care

Duration - Day of surgery

Participants undergo elective major abdominal surgery and receive either an ultrasound-guided fascial plane block or other routine postoperative analgesic methods as part of standard clinical care.

1 visit (in-person)

Post-operative Follow-up

Duration - Up to 7 days post-surgery

Participants are observed for up to 7 days after surgery to monitor for postoperative pulmonary complications and assess recovery.

Daily visits or assessments for up to 7 days

Trial Site Locations

Total: 1 location

1

Dr. Abdurrahman Yurtaslan Ankara Oncology Hospital

Yenimahalle, Ankara, Turkey (Türkiye), 06370

Actively Recruiting

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Research Team

A

arif timuroglu

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

2

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