Could lying a certain way after a nerve block double its pain relief?
NCT ID NCT06441071
First seen Sep 02, 2026 · Last updated Sep 03, 2026 · Updated 1 time
Summary
This trial tests whether the position a patient holds for 30 minutes after receiving a nerve block affects pain control after video-assisted chest surgery. Researchers will compare patients who lie on their back, side, or stomach after the block, and also compare the block to a standard alternative. The main goal is to see if certain positions reduce the need for opioid painkillers in the first 24 hours after surgery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Patient positioning (supine, lateral, or prone) for 30 minutes after an ultrasound-guided erector spinae plane block, compared with a paravertebral block
- What this could lead to
- If it works, this could point to a simple, no-cost way to improve pain relief after chest surgery and reduce the need for opioid painkillers.
- What could go wrong
- This is an early-stage trial, and the benefit of one position over another may be small or not appear at all. Nerve blocks carry rare risks like infection or nerve damage.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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200 people
The number who actually took part.
- Started
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Jun 2024
- Finished
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May 2025
- 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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18 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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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 Video-assisted Thoracoscopic Surgery under elective general anaesthesia were selected, regardless of sex, age 18-80 years, BMI: 18-30 kg.m-2, ASA classification I-III. Exclusion Criteria: 1. Allergy to the study drug or allergy to local anaesthetics; 2. History of opioid abuse; 3. Previous nerve block puncture with puncture site infection; 4. Peripheral neuropathy; 5. Coagulation abnormalities, defined as prothrombin time or partial activation time prothrombin time exceeding standard values or international normalised ratio (INR) ≥ 1.4, or platelet count ≤ 70 x 109 L-1.
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As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Nanjing First Hospital
Nanjing, Jiangsu, 210006, China
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