Ultrasound-guided Rectus Abdominis Muscle Sheath Block in Outpatient Umbilical Hernioplasties: a Comparative Analysis of the Use of Clonidine as an Adjuvant - Prospective Randomized Clinical Trial

Status: Recruiting
Location: See location...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 2/Phase 3
SUMMARY

This clinical trial aims to evaluate the effectiveness of an ultrasound-guided nerve block technique as the sole anesthetic method for patients undergoing outpatient umbilical hernia surgery. The procedure, called rectus sheath block (RSB), involves injecting local anesthetic near the abdominal muscles to reduce pain during and after surgery. The study will compare two groups of adult patients: one receiving the nerve block with a medication called clonidine added to the anesthetic solution, and the other receiving the same block without clonidine. Clonidine may help improve pain control and reduce the need for additional pain medications. By analyzing pain scores, recovery quality, and potential side effects, the study seeks to determine whether the use of clonidine in this context is safe, cost-effective, and beneficial for patient recovery. Participants will answer questionnaires about their pain and recovery during the first 48 hours after surgery.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 65
Healthy Volunteers: f
View:

• Adults aged 18 to 65 years;

• Both male and female participants;

• ASA physical status I or II (American Society of Anesthesiologists classification);

• Scheduled for elective ambulatory umbilical hernia repair;

• Hernial defect size ≤ 4 cm (small to medium).

Locations
Other Locations
Brazil
Policlinica Universitária Piquet Carneiro
RECRUITING
Rio De Janeiro
Contact Information
Primary
Samuel N Abreu, MD
samuel.abreu@ppc.uerj.br
55 21 987901911
Time Frame
Start Date: 2025-01-07
Estimated Completion Date: 2026-04-30
Participants
Target number of participants: 62
Treatments
Active_comparator: Rectus Sheath Block
Participants in this arm will receive bilateral ultrasound-guided rectus sheath block (RSB) without the addition of clonidine.
Active_comparator: Rectus sheath block with clonidine
Participants in this arm will receive bilateral ultrasound-guided rectus sheath block (RSB) with clonidine
Sponsors
Leads: Universidade Federal do Rio de Janeiro

This content was sourced from clinicaltrials.gov