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Comparison of Combined Spinal Epidural Analgesia and Erector Spinae Plane Block After Elective Cesarean Section

RecruitingNAAges 18 Years - 45 YearsFemaleBursa City Hospital
NCT07411521 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Postoperative pain after cesarean section can significantly affect maternal recovery, early mobilization, and patient satisfaction. Regional anesthesia techniques are widely used to improve postoperative analgesia and reduce opioid consumption. Combined spinal-epidural analgesia is commonly used for cesarean section and provides effective pain control but may be associated with technical difficulties and potential complications. The erector spinae plane block is a newer ultrasound-guided regional anesthesia technique that has shown promising results for postoperative pain management in various surgical procedures. The aim of this study is to compare the postoperative analgesic effectiveness of combined spinal-epidural analgesia and the erector spinae plane block in patients undergoing elective cesarean section. Pain intensity will be assessed using the visual analog scale at multiple

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📋 Eligibility rules (as published)
Inclusion Criteria: Female patients aged 18-45 years Scheduled for elective cesarean section under regional anesthesia American Society of Anesthesiologists (ASA) physical status I-II Singleton pregnancy at term gestation Ability to understand the study protocol and provide written informed consent Exclusion Criteria: Refusal to participate in the study Contraindications to regional anesthesia (coagulopathy, infection at injection site, severe hypovolemia) Known allergy to local anesthetics or study medications Body mass index (BMI) \> 40 kg/m² Chronic opioid use or chronic pain disorders Neurological disorders affecting sensory assessment Severe obstetric complications (e.g., preeclampsia, placenta previa, fetal distress)
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What it tests

  • Combined Spinal Epidural Analgesia
  • Ultrasound-Guided Erector Spinae Plane Block
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Where

1 site
Bursa City Hospital
Bursa, Turkey (Türkiye)
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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