Nerve block may offer safer pain relief after major aortic surgery
NCT ID NCT06244732
First seen Jul 02, 2026 · Last updated Jul 02, 2026
Summary
This study tests whether a nerve block (rectus sheath block) can control pain after open abdominal aortic aneurysm repair as well as the standard epidural analgesia, but with fewer complications. About 60 adults undergoing elective surgery will be randomly assigned to one of the two pain management methods. Researchers will measure pain levels and track any side effects or need for extra pain medication.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- rectus sheath block (nerve block)
- What this could lead to
- If the nerve block works as well as epidural analgesia with fewer side effects, it could offer a simpler, safer way to manage pain after this major surgery.
- What could go wrong
- This is a small, early-stage study with only 60 participants, so results may not apply to all patients. The nerve block might not control pain as effectively as the standard epidural approach.
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 60 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Feb 2024
- Expected to finish
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Mar 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 years and older
- 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: * adult patients (age \> 18 years) * patients who have given their consent to participate in the study * patients undergoing elective "open" surgical treatment of an abdominal aortic aneurysm with a midline xipho-pubic incision. Exclusion Criteria: * Pregnant women * Patients being treated for chronic pain * Known allergy to drugs included in analgesia protocols * Contraindications to the use of one of the two methods provided: * refusal by the patient * infection at the puncture site * coagulopathy: 1. PTT \> 40 s and/or INR \> 1.4 2. platelet count \< 50,000/µL 3. taking antiplatelet or anticoagulant drugs that have not been discontinued in good time, according to international guidelines * Emergent intervention * Lack of consent to participate in the study
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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.
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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I.R.C.C.S. Policlinico San Donato
RECRUITINGSan Donato Milanese, Milan, 20097, Italy
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