Lying flat or head down? study seeks best position for safer spinal anesthesia
NCT ID NCT07376798
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at how different patient positions and doses of the numbing drug bupivacaine affect spinal anesthesia for urogenital surgery. About 100 adults will be randomly placed in one of four groups: low or standard dose, combined with lying flat or head-down position. The goal is to find the best combination that provides good numbness while keeping blood pressure stable.
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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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About 100 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jan 2026
An estimate. Start dates often move.
- Expected to finish
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Jun 2026
An estimate. End dates often move.
- Lead sponsor
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A government agency
The lead sponsor is a government body.
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 70 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: * Age 18-70 years * American Society of Anesthesiologists (ASA) physical status classification I-II * Scheduled for elective urogenital surgery * Suitable candidate for spinal anesthesia * Able to read, understand, and provide written informed consent * Body Mass Index (BMI) less than 35 kg/m² * Willing to participate in the study Exclusion Criteria: * Contraindications to spinal anesthesia (coagulopathy, infection at injection site, patient refusal) * History of neurological disease * Spinal deformity or previous spinal surgery * History of allergic reaction to local anesthetics (amide-type) * ASA physical status classification III or higher * Emergency surgery * Pregnancy * Psychiatric illness preventing effective communication * Refusal to participate in the study * Unable to understand or provide informed consent
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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 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
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