Belly muscle scan may predict painkiller needs in elderly surgery
NCT ID NCT07545824
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study will check if measuring belly muscle thickness with ultrasound before surgery can help predict how much opioid pain medicine older patients need after abdominal surgery. Researchers will follow 62 patients aged 65 and older for 24 hours after surgery, recording pain scores and painkiller use. The goal is to find simple ways to personalize pain management for each patient.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 62 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Apr 2026
An estimate. Start dates often move.
- Expected to finish
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Nov 2026
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.
Who is studied
The study population will consist of geriatric patients (≥65 years) scheduled for elective midline abdominal surgery at S.B.U. Haseki Training and Research Hospital. All participants will receive bilateral ultrasound-guided rectus sheath block as part of routine clinical practice under general anesthesia. Eligible patients who meet the inclusion criteria and provide written informed consent will be prospectively enrolled.
- Ages
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65 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.
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: * Age ≥65 years * Scheduled for elective midline abdominal surgery * ASA physical status I-III * Planned to receive bilateral ultrasound-guided rectus sheath block as part of routine clinical practice * Provided written informed consent Exclusion Criteria: * Known allergy or hypersensitivity to local anesthetics * Infection or skin lesion at the injection site * Systemic infection or sepsis * Coagulopathy (INR \>1.5 or platelet count \<100,000/mm³) * Use of therapeutic anticoagulation not safely managed perioperatively * History of previous midline laparotomy * History of abdominal mesh implantation or abdominal wall reconstruction * Significant abdominal wall pathology (e.g., large hernia) affecting anatomy * Neuromuscular disease (e.g., myasthenia gravis, ALS, muscular dystrophy) * Inability to perform required maneuver for dynamic ultrasound measurement * Moderate to severe cognitive impairment or poor cooperation * Body mass index (BMI) \>40 kg/m² * Cachexia or severe malnutrition * Chronic opioid use (≥3 months) * Chronic pain syndromes requiring regular analgesic use * Alcohol or substance abuse * Emergency surgery * Use of additional regional anesthesia techniques (e.g., epidural, TAP block) * Inadequate ultrasound visualization of the target anatomical plane
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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
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Contacts and locations
Locations
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Istinye Üniversity
Istanbul, Merkez Mahallesi, 34250, Turkey (Türkiye)
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