Which nerve block gets you breathing easier after liver surgery?
NCT ID NCT07740382
First seen Jul 31, 2026 · Last updated Aug 18, 2026 · Updated 2 times
Summary
This trial compares two ultrasound-guided nerve blocks—the erector spinae plane block and the external oblique intercostal plane block—to see which better supports breathing recovery after liver resection surgery. Adults aged 18-75 scheduled for elective liver surgery will be randomly assigned to receive one of the two blocks before the surgical incision. The study measures diaphragm movement, lung ultrasound scores, oxygen needs, and lung complications, along with pain intensity, to determine which block offers better respiratory recovery and pain control.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Ultrasound-guided nerve blocks (erector spinae plane block or external oblique intercostal plane block) with bupivacaine
- What this could lead to
- If one block proves better, it could become the standard for easing pain and speeding breathing recovery after liver surgery.
- What could go wrong
- This is a single-center trial with 116 patients, so results may not apply broadly. Nerve blocks carry small risks like bleeding or infection, and the benefit over standard care is not guaranteed.
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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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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About 116 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Aug 2026
An estimate. Start dates often move.
- Expected to finish
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Jan 2027
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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18 to 75 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.
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: * Adult patients aged 18-75 years * Adult with American Society of Anesthesiologists (ASA) physical status I-III * Scheduled for elective hepatic surgery via upper abdominal incisions will be eligible. * All participants will be required to understand the Numeric Rating Scale (NRS) and provide informed consent. Exclusion Criteria: * Patient refusal * Coagulopathy (INR\>1.4 or platelet count\<8 x 104) * Contraindications to fascial plane blocks * Infection at the puncture site * Known allergy to study medications * Chronic opioid use or chronic pain syndromes * Severe chronic respiratory failure requiring home oxygen or noninvasive ventilation * Pregnancy * Body mass index\>40 kg/m² * When ultrasound imaging will be deemed unreliable * Emergency surgery * Hemodynamic instability * Reoperation during the same hospital admission. * Patients scheduled preoperatively for elective postoperative mechanical ventilation or planned ICU intubation.
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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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National Liver Institute, Menoufia University
RECRUITINGAlexandria, Sbein-Elkom, 32511, Egypt
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