Analgesic Efficacy of Multiple Mid-Transverse Process to Pleura (MTP) Block and PCA in Idiopathic Scoliosis Patients Undergoing Posterior Spinal Fusion
NCT ID: NCT06820190
Last Updated: 2026-01-07
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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RECRUITING
NA
40 participants
INTERVENTIONAL
2025-02-12
2026-12-01
Brief Summary
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Detailed Description
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Regional anesthesia techniques, mainly epidural analgesia and, more recently, paravertebral blocks, became crucial parts of the multimodal analgesia (MMA) regimen after introducing ultrasound (US) in the regional anesthesia practice. Erector spinae plane (ESP) block and mid-transverse to pleura (MTP) block are the latest developments in postoperative pain therapy.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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MTP group
Patients will receive multiple mid-transverse process to pleura (MTP) block after induction of anesthesia.
Multiple Mid-Transverse Process to Pleura (MTP) Block
Patients will receive multiple mid-transverse process to pleura (MTP) block after induction of anesthesia.
PCA group
Patients will receive IV-PCA. Morphine is generally administered as an initial loading dose of 0.05-0.1 mg/kg before the end of surgery, with PCA settings of a bolus dose of 0.01-0.03 mg/kg, a lockout interval of 6-10 min, and a background infusion of 0.01-0.02 mg/kg/h.
Morphine
Patients will receive IV-PCA. Morphine is generally administered as an initial loading dose of 0.05-0.1 mg/kg before the end of surgery, with PCA settings of a bolus dose of 0.01-0.03 mg/kg, a lockout interval of 6-10 min, and a background infusion of 0.01-0.02 mg/kg/h.
Interventions
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Multiple Mid-Transverse Process to Pleura (MTP) Block
Patients will receive multiple mid-transverse process to pleura (MTP) block after induction of anesthesia.
Morphine
Patients will receive IV-PCA. Morphine is generally administered as an initial loading dose of 0.05-0.1 mg/kg before the end of surgery, with PCA settings of a bolus dose of 0.01-0.03 mg/kg, a lockout interval of 6-10 min, and a background infusion of 0.01-0.02 mg/kg/h.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Both sexes.
* American Society of Anesthesiology (ASA) physical status I-II.
* Idiopathic scoliosis patients undergoing posterior spinal fusion surgery.
Exclusion Criteria
* Known allergy to study drugs.
* Coagulation disorder.
* History of psychiatric illness.
* Pre-existing neurological deficits.
* Patient with morbid obesity (body mass index \>40 kg/m2).
* Presence of any pre-operative pain or history of chronic pain.
* History of regular analgesic.
18 Years
ALL
No
Sponsors
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Tanta University
OTHER
Responsible Party
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Mohammed Said ElSharkawy
Lecturer of Anesthesiology, Surgical Intensive Care and Pain Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt.
Locations
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Tanta University
Tanta, El-Gharbia, Egypt
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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36264PR1047/1/25
Identifier Type: -
Identifier Source: org_study_id
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