New pain block could cut opioid use after liver transplant
NCT ID NCT07233083
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether a nerve block called the external oblique intercostal plane block can reduce pain after liver transplant surgery. Sixty-four adult patients received either the block or a sham procedure after surgery. Researchers measured how much morphine patients needed and their pain scores over the first 24 hours.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- external oblique intercostal plane block (a nerve block injection)
- What this could lead to
- If it works, this could offer a better way to manage pain after liver transplant, possibly reducing the need for strong opioids.
- What could go wrong
- This is a small, completed trial with only 64 participants. The block may not provide significant pain relief over a sham procedure, and results may not apply to all transplant patients.
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
-
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
-
64 people
The number who actually took part.
- Started
-
Dec 2025
- Finished
-
Jun 2026
- Lead sponsor
-
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
-
18 to 75 years
- Sex
-
Anyone
- Healthy volunteers
-
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 to 75 years * Scheduled for elective orthotopic liver transplantation (living or deceased donor) * J-shaped or Mercedes incision planned * ASA physical status III-IV * Normal or acceptable coagulation profile at the time of block application (INR ≤ 1.5, platelet count ≥ 50,000/mm³, fibrinogen ≥ 150 mg/dL) * Able to provide written informed consent Exclusion Criteria: * Coagulopathy at the time of block application (INR \> 1.5, platelet count \< 50,000/mm³, or fibrinogen \< 150 mg/dL) * Known allergy or hypersensitivity to local anesthetics (amide group) * Local infection or skin lesion at the block injection site * Severe hemodynamic instability requiring high-dose vasopressor support * Chronic opioid use (≥30 mg oral morphine equivalents per day for ≥30 days before surgery) * Severe hepatic encephalopathy or cognitive impairment preventing use of PCA or pain scoring * Emergency or re-transplantation surgery
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
istinye University
Istanbul, Turkey (Türkiye)
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Sugar patterns in blood may foretell liver transplant rejection