Spinal injection vs. nerve block: which eases chest surgery pain better?
NCT ID NCT07126483
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked at 70 adults having video-assisted chest surgery to compare two pain relief methods: a numbing injection near the spine (thoracic paravertebral block) and a small dose of morphine into the spinal fluid (intrathecal morphine). The goal was to see if the spinal morphine works as well as the nerve block in reducing the need for extra pain medicine in the first 24 hours after surgery. Participants received one of the two treatments before surgery and had their pain and recovery tracked for up to 30 days.
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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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70 people
The number who actually took part.
- Started
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Aug 2025
- Finished
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Jan 2026
- 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.
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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 1. Age between 18 and 75 years 2. American Society of Anesthesiologists (ASA) physical status I-III 3. Scheduled for elective video-assisted thoracoscopic surgery (VATS) for wedge resection, segmentectomy, or lobectomy 4. Ability to understand the study protocol and provide written informed consent Exclusion Criteria 1. Refusal to participate 2. Pregnancy 3. Morbid obesity (body mass index \> 30) 4. Known allergy to opioids, local anesthetics, or NSAIDs 5. History of neuropsychiatric disorder, cognitive impairment, or inability to communicate with investigators 6. History of substance abuse 7. Current anticoagulant use or known bleeding disorder 8. Presence of systemic infection 9. Significant cardiovascular, hepatic, renal, or endocrine disease 10. History of chronic pain syndromes or chronic pain treatment 11. Emergency surgery or previous ipsilateral VATS or thoracotomy 12. Preoperative chronic opioid therapy within 3 months (≥15 mg/day for ≥30 days) 13. Severe intraoperative or postoperative bleeding, hemodynamic instability 14. Requirement for prolonged postoperative ventilation (\> 18 hours)
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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
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Department of Anesthesiology, Faculty of Medicine, Ondokuz Mayis University
Samsun, Atakum, 55139, Turkey (Türkiye)
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Other studies related to the condition(s) this trial covers.
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