[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100624583":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":30,"centralContacts":34,"locations":43,"responsibleParty":59,"collaborators":25,"id":62,"slug":63,"hasResults":64,"nctId":65,"briefTitle":66,"officialTitle":67,"acronym":68,"eligibilityCriteria":69,"healthyVolunteers":64,"sex":70,"minAge":71,"maxAge":72,"enrollmentInfo":73,"targetDuration":25,"studyType":76,"phases":77,"briefSummary":79,"conditions":80,"keywords":82,"overallStatus":45,"whyStopped":25,"lastUpdateSubmitDate":87,"lastUpdatePostDateStruct":88,"startDateStruct":91,"completionDateStruct":93,"leadSponsor":95,"locationsCount":96},{"fullName":5,"class":6},"Bursa City Hospital","OTHER_GOV",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Combined Spinal Epidural Analgesia Group","ACTIVE_COMPARATOR","Participants receive combined spinal-epidural analgesia for cesarean section anesthesia and postoperative pain management according to institutional protocol.",[13],"Other: Combined Spinal Epidural Analgesia",{"label":15,"type":10,"description":16,"interventionNames":17},"Erector Spinae Plane Block Group","Participants receive spinal anesthesia for cesarean section followed by ultrasound-guided bilateral erector spinae plane block for postoperative analgesia.",[18],"Other: Ultrasound-Guided Erector Spinae Plane Block",[20,26],{"type":21,"name":22,"description":23,"armGroupLabels":24,"otherNames":25},"OTHER","Combined Spinal Epidural Analgesia","Combined spinal-epidural analgesia is performed for cesarean section anesthesia using standard institutional technique, providing intraoperative anesthesia and postoperative pain control through epidural catheter administration.",[9],null,{"type":21,"name":27,"description":28,"armGroupLabels":29,"otherNames":25},"Ultrasound-Guided Erector Spinae Plane Block","Bilateral ultrasound-guided erector spinae plane block is performed following spinal anesthesia for cesarean section to provide postoperative analgesia.",[15],[31],{"name":32,"affiliation":5,"role":33},"Serra Topal","PRINCIPAL_INVESTIGATOR",[35,40],{"name":36,"role":37,"phone":38,"phoneExt":25,"email":39},"Yasemin Nur Tekin","CONTACT","+905365541611","yaseminnurguney@gmail.com",{"name":41,"role":37,"phone":42,"phoneExt":25,"email":25},"Emre ULUSOY","+905379492799",[44],{"facility":5,"status":45,"city":46,"state":47,"zip":48,"country":49,"countryCode":25,"cosmosGeoPoint":50,"geoPoint":55,"contacts":56},"RECRUITING","Bursa","Nilüfer","16110","Turkey (Türkiye)",{"type":51,"coordinates":52},"Point",[53,54],29.06013,40.19559,{"lat":54,"lon":53},[57],{"name":32,"role":37,"phone":25,"phoneExt":25,"email":58},"dr.serra@msn.com",{"type":33,"investigatorFullName":60,"investigatorTitle":61,"investigatorAffiliation":5,"oldNameTitle":25,"oldOrganization":25},"eralp çevikkalp","Assistant Professor of Anesthesiology and Reanimation","100624583","comparison-of-combined-spinal-epidural-analgesia-and-erector-spinae-plane-block-after-elective-cesarean-section-100624583",false,"NCT07411521","Comparison of Combined Spinal Epidural Analgesia and Erector Spinae Plane Block After Elective Cesarean Section","Comparison of the Postoperative Analgesic Effectiveness of Combined Spinal Epidural Analgesia and Erector Spinae Plane Block in Elective Cesarean Section","CSEA-ESP-CS","Inclusion Criteria:\n\nFemale patients aged 18-45 years\n\nScheduled for elective cesarean section under regional anesthesia\n\nAmerican Society of Anesthesiologists (ASA) physical status I-II\n\nSingleton pregnancy at term gestation\n\nAbility to understand the study protocol and provide written informed consent\n\nExclusion Criteria:\n\nRefusal to participate in the study\n\nContraindications to regional anesthesia (coagulopathy, infection at injection site, severe hypovolemia)\n\nKnown allergy to local anesthetics or study medications\n\nBody mass index (BMI) \\> 40 kg\u002Fm²\n\nChronic opioid use or chronic pain disorders\n\nNeurological disorders affecting sensory assessment\n\nSevere obstetric complications (e.g., preeclampsia, placenta previa, fetal distress)","FEMALE","18 Years","45 Years",{"count":74,"type":75},90,"ESTIMATED","INTERVENTIONAL",[78],"NA","Postoperative pain after cesarean section can significantly affect maternal recovery, early mobilization, and patient satisfaction. Regional anesthesia techniques are widely used to improve postoperative analgesia and reduce opioid consumption.\n\nCombined spinal-epidural analgesia is commonly used for cesarean section and provides effective pain control but may be associated with technical difficulties and potential complications. The erector spinae plane block is a newer ultrasound-guided regional anesthesia technique that has shown promising results for postoperative pain management in various surgical procedures.\n\nThe aim of this study is to compare the postoperative analgesic effectiveness of combined spinal-epidural analgesia and the erector spinae plane block in patients undergoing elective cesarean section.\n\nPain intensity will be assessed using the visual analog scale at multiple postoperative time points. Maternal recovery will be evaluated using the Obstetric Quality of Recovery-11 questionnaire. Secondary outcomes will include postoperative nausea, pruritus, time to first analgesic request, mobilization time, and patient satisfaction.\n\nThis study will help determine whether the erector spinae plane block can provide comparable or improved postoperative pain control with fewer complications compared to combined spinal-epidural analgesia.",[81],"Postoperative Pain After Cesarean Section",[83,22,84,85,86],"Cesarean Section","Erector Spinae Plane Block","Postoperative Pain Management","Regional Anesthesia","2026-02-11",{"date":89,"type":90},"2026-02-17","ACTUAL",{"date":92,"type":75},"2026-03-15",{"date":94,"type":75},"2026-08-15",{"name":5,"class":6},1]