Can a common steroid stretch spinal anesthesia and keep surgery patients comfortable longer?
NCT ID NCT07819682
First seen Sep 15, 2026 · Last updated Sep 16, 2026 · Updated 1 time
Summary
Researchers are testing whether an intravenous dose of the steroid dexamethasone makes spinal anesthesia last longer in adults having lower abdominal or orthopedic surgery. Participants receive either 8 mg of dexamethasone in saline or a plain saline placebo before their spinal injection of bupivacaine. The team then measures how long numbness and muscle weakness last and how much pain patients feel four hours after surgery. The goal is to see if the steroid delays the return of sensation and the need for additional pain relief.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- dexamethasone, a steroid given intravenously before spinal anesthesia
- What this could lead to
- If it works, adding a steroid to spinal anesthesia could extend numbness and pain relief after lower abdominal surgery, possibly delaying the need for extra painkillers.
- What could go wrong
- This is a single-center study of 110 adults with mild health status, so results may not apply to sicker patients or other hospitals. Steroids can raise blood sugar and slightly increase infection risk, and the effect on block duration may be small or absent.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 110 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2026
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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20 to 40 years
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patients undergoing lower abdominal surgeries and orthopaedic surgeries including pelvic and lower extremity surgeries * Patients classified as American Society of Anesthesiologists (ASA) physical status I or II Exclusion Criteria: * Patients with a history of spinal surgery, spinal instrumentation, or previous failed spinal anaesthesia * Patients with pre-existing neurological disorders, peripheral neuropathy, or sensory/motor deficits * Patients with known hypersensitivity or allergy to local anaesthetic agents or dexamethasone * Patients with congenital spinal deformities or acquired spinal conditions such as advanced spondylosis or kyphoscoliosis that may interfere with neuraxial block * Patients with contraindications to spinal anaesthesia, including coagulopathy, local infection at the injection site, or raised intracranial pressure * Patients with diabetes mellitus, chronic steroid therapy, immunosuppression, or systemic infection (due to steroid use) * Pregnant patients or those undergoing emergency surgeries
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As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Holy Family Hospital
RECRUITINGRawalpindi, Punjab Province, 46000, Pakistan
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Other studies related to the condition(s) this trial covers.
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- Could a steroid injection double as a painkiller for brain surgery?
- Can a slower oxytocin infusion prevent dangerous blood pressure drops in C-Sections?
- Can a steroid outperform a standard antiemetic to stop Post-Surgery sickness?
- Which spinal anesthetic gets you back on your feet sooner?