[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"anesthesia--analgesia\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:anesthesia--analgesia":27},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,5,0,[8,46,75,99,128],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":13,"acronym":4,"eligibilityCriteria":14,"healthyVolunteers":11,"sex":15,"minAge":16,"maxAge":4,"enrollmentInfo":17,"targetDuration":4,"studyType":20,"phases":21,"briefSummary":23,"conditions":24,"keywords":28,"overallStatus":33,"whyStopped":4,"lastUpdateSubmitDate":34,"lastUpdatePostDateStruct":35,"startDateStruct":38,"completionDateStruct":40,"leadSponsor":42,"locationsCount":45},"100640030","impact-of-nol---nociception-level-index-intraoperative-monitoring-on-perioperative-outcomes-in-spine-surgery---a-quality-improvement-pilot-100640030",false,"NCT07608276","Impact of NOL - Nociception Level Index Intraoperative Monitoring on Perioperative Outcomes in Spine Surgery - a Quality Improvement Pilot","Inclusion Criteria:\n\n* Age \\> 18 years old.\n* ASA I-III\n* Elective spine surgery (laminectomy, spinal fusion, and disc replacement) under general anesthesia.\n* Opioid tolerant and patients with documented chronic pain may be included\n* Patient able to provide informed consent\n\nExclusion Criteria:\n\n* • Use of any type of anesthesia other than general anesthesia (neuraxial, epidural analgesia or local regional anesthesia)\n\n  * Use of intraoperative methadone\n  * Non-sinus heart rate\n  * Pregnancy\u002Flactation\n  * Chronic use of psychoactive drugs within 90 days prior to surgery\n  * Patients currently using IV opioids (IV drug abuse)\n  * Allergy or intolerance to any of the study anesthesia related drugs\n  * History of severe cardiac arrhythmias within the last 12 months\n  * Surgeries less than 1.5 hours (from incision to extubation)","ALL","18 Years",{"count":18,"type":19},100,"ESTIMATED","INTERVENTIONAL",[22],"NA","The objective of this study is to evaluate the clinical impact of the NOL nociception level index monitoring on intraoperative and post operative patient outcomes and institutional metrics when used to guide intraoperative analgesia dosing in patients undergoing spine surgery under general anesthesia when compared to a case controlled retrospective cohort.",[25,26,27],"Spine Surgery","Pain After Surgery","Anesthesia , Analgesia",[29,30,31,32],"nociception","pain","NOL nociception level index","quality improvement","NOT_YET_RECRUITING","2026-05-20",{"date":36,"type":37},"2026-05-27","ACTUAL",{"date":39,"type":19},"2026-05",{"date":41,"type":19},"2027-03",{"name":43,"class":44},"Medasense Biometrics Ltd","OTHER",1,{"id":47,"slug":48,"hasResults":11,"nctId":49,"briefTitle":50,"officialTitle":51,"acronym":4,"eligibilityCriteria":52,"healthyVolunteers":53,"sex":15,"minAge":16,"maxAge":54,"enrollmentInfo":55,"targetDuration":4,"studyType":20,"phases":57,"briefSummary":58,"conditions":59,"keywords":63,"overallStatus":33,"whyStopped":4,"lastUpdateSubmitDate":67,"lastUpdatePostDateStruct":68,"startDateStruct":70,"completionDateStruct":71,"leadSponsor":73,"locationsCount":45},"100632187","artificial-intelligence-vs-automated-messaging-for-continuous-regional-analgesia-follow-up-100632187","NCT07510425","Artificial Intelligence vs. Automated Messaging for Continuous Regional Analgesia Follow-up","Postoperative Follow-up Via Artificial Intelligence-Based Application Versus Automated Messaging Application in Patients Receiving Continuous Regional Analgesia: A Comparative Study","Inclusion Criteria:\n\n* Patients aged between 18 and 75 years.\n* Physical status classification ASA I or II.\n* Scheduled for ambulatory surgical programs at UC Christus Health Network centers (Hospital Clínico, Clínica San Carlos de Apoquindo, or Centro Médico Santa Lucía).\n* Patients receiving postoperative pain management via continuous peripheral nerve block (CPNB) with a perineural catheter and disposable infusion pump.\n* Ownership and documented proficiency in operating a smartphone to access the mobile application.\n* Provision of written informed consent.\n\nExclusion Criteria:\n\n* Inability to understand or follow the digital monitoring protocol.\n* Patients not meeting the age or ASA physical status requirements.",true,"75 Years",{"count":56,"type":19},166,[22],"Effective postoperative analgesia is critical for patient recovery, satisfaction, and the reduction of hospital stay duration. Continuous peripheral nerve blocks (CPNB) via catheter placement represent a cornerstone in achieving these objectives. Traditionally, follow-up for these patients has relied on standardized telephone protocols conducted by trained personnel. Original previous research in 2024 demonstrated that an automated text-messaging platform was feasible and maintained high patient satisfaction, it resulted in a significantly higher rate of unscheduled patient-initiated inquiries (28.3% vs. 6.4%) compared to traditional phone calls, likely due to a lack of adaptive response capabilities.\n\nObjective: This study aims to evaluate an enhanced technological iteration of our follow-up platform. By integrating an Artificial Intelligence (AI) interface trained on specialized clinical protocols, the new system is designed to provide automated, personalized and adaptive recommendations to patients.\n\nMethods and Intervention: The study will compare the effectiveness of this AI-driven platform against the previous version of the non-adaptive automated messaging system. The primary outcome is to compare the number of patient-initiated inquiries (re-consultations). Secondary outcomes include patient satisfaction, adherence to the follow-up protocol, and response rates from postoperative days one through three.\n\nImpact: The investigators hypothesize that the integration of AI will optimize human resources and improve patient autonomy without compromising safety or satisfaction, ultimately providing a scalable model for postoperative regional analgesia monitoring.",[60,27,61,62],"Anesthesia","Regional Anesthesia","Regional Anesthesia Success",[60,61,64,65,66],"Continuous Nerve Block","Ambulatory","Outpatient follow-up","2026-04-01",{"date":69,"type":37},"2026-04-03",{"date":67,"type":19},{"date":72,"type":19},"2027-07-01",{"name":74,"class":44},"Pontificia Universidad Catolica de Chile",{"id":76,"slug":77,"hasResults":11,"nctId":78,"briefTitle":79,"officialTitle":80,"acronym":4,"eligibilityCriteria":81,"healthyVolunteers":53,"sex":15,"minAge":16,"maxAge":82,"enrollmentInfo":83,"targetDuration":4,"studyType":20,"phases":85,"briefSummary":86,"conditions":87,"keywords":90,"overallStatus":33,"whyStopped":4,"lastUpdateSubmitDate":91,"lastUpdatePostDateStruct":92,"startDateStruct":94,"completionDateStruct":96,"leadSponsor":97,"locationsCount":4},"100622467","comparison-between-external-oblique-intercostal-plane-block-and-rectus-sheath-block-combined-with-transversus-abdominis-plane-block-100622467","NCT07384000","Comparison Between External Oblique Intercostal Plane Block and Rectus Sheath Block Combined With Transversus Abdominis Plane Block","The Efficacy of Single Puncture Technique of Rectus Sheath Block Combined With Transversus Abdominis Plane Block Versus External Oblique Intercostal Plane Block for Pain Control After Laparoscopic Cholecystectomy.","Inclusion Criteria:\n\n* Patients undergoing elective laparoscopic cholecystectomy\n* American Society of Anesthesiologists (ASA) 1-II\n* aged 18-70 years\n* both genders will be included.\n* body mass index (BMI) ≤ 35 kg\u002Fm2.\n\nExclusion Criteria:\n\n* coagulation disorders\n* liver\u002Fkidney disease\n* History of abdominal surgery\n* infection in the block application area\n* chronic opioid use\n* local anesthetic (LA) allergy\n* Pregnancy","70 Years",{"count":84,"type":19},60,[22],"Effective perioperative pain management remains a cornerstone in enhancing recovery and improving patient outcomes in laparoscopic cholecystectomy. This minimally invasive procedure, although less traumatic compared to open surgery, can still lead to significant postoperative pain, particularly in the early hours following the operation. Insufficient pain control may result in delayed mobilization, prolonged hospital stays, and increased opioid consumption, which are associated with adverse side effects and a heightened risk of complications . Regional anesthesia techniques have garnered significant attention for their ability to provide localized, opioid-sparing analgesia, thereby improving postoperative recovery profiles.External Oblique Intercostal Plane Block (EOIP) is a relatively new regional anesthesia technique targeting the intercostal nerves (T7-T11) as they traverse the plane between the external and internal oblique muscles. This block has demonstrated efficacy in controlling postoperative pain for upper abdominal surgeries, including laparoscopic cholecystectomy. By selectively anesthetizing the sensory branches of the thoracoabdominal nerves, the EOIP block provides localized analgesia with minimal motor blockade, making it an ideal choice for early mobilization (Ouchi et al., 2020).Recent advancements in ultrasound-guided techniques have improved the precision and safety of the EOIP block, allowing for consistent blockade of the targeted nerves. Clinical trials have highlighted its ability to reduce the pain significantly in the first 24 hours postoperatively, along with a marked decrease in the need for rescue analgesics. Tranrversus abdominis plane block (TAP) , first described in the early 2000s, has undergone several modifications to improve its efficacy in abdominal surgeries. The subcostal TAP block targets the anterior branches of the lower thoracic nerves (T6-T9) to provide analgesia to the upper abdominal wall. This technique is particularly suited for laparoscopic cholecystectomy, where the pain originates predominantly from the pari0etal peritoneum and abdominal wall incisions.The single puncture technique of Rectus sheath block (RSB) combined with transversus abdominis plane block (TAPB) represents a more streamlined approach to abdominal wall analgesia. ultrasonography (US) guidance for peripheral nerve blocks has become more and more popular. Transversus abdominis plane block (TAPB) and US-guided rectus sheath block (RSB) have been utilized in abdominal surgeries and have shown strong analgesic effects. Prior researches has demonstrated that in abdominal surgery, US-guided (TAPB) in conjunction with (RSB) had superior analgesic effects than either (TAPB) or (RSB) alone. Currently, multipoint nerve block procedures are generally applied in clinical practice, but they are difficult and can increase the patient's suffering. A novel method is proposed based on the neuromuscular anatomy and the location of the incisiopn in laparoscopic upper abdominal surgery: US-guided transverse abdominis plane and rectus sheath block one-puncture .",[88,27,89],"Pain Management","Nerve Block",[79],"2026-01-26",{"date":93,"type":37},"2026-02-03",{"date":95,"type":19},"2026-01-20",{"date":67,"type":19},{"name":98,"class":44},"Minia University",{"id":100,"slug":101,"hasResults":11,"nctId":102,"briefTitle":103,"officialTitle":104,"acronym":4,"eligibilityCriteria":105,"healthyVolunteers":53,"sex":15,"minAge":106,"maxAge":107,"enrollmentInfo":108,"targetDuration":4,"studyType":20,"phases":110,"briefSummary":111,"conditions":112,"keywords":114,"overallStatus":118,"whyStopped":4,"lastUpdateSubmitDate":119,"lastUpdatePostDateStruct":120,"startDateStruct":122,"completionDateStruct":123,"leadSponsor":125,"locationsCount":45},"100614119","comparative-study-between-ultrasound-guided-regional-anesthesia-for-awake-tympanoplasty-surgery-vs-general-anesthesia-100614119","NCT07275450","Comparative Study Between Ultrasound Guided Regional Anesthesia for Awake Tympanoplasty Surgery vs General Anesthesia","Safety and Efficacy of Regional Anesthesia for Awake Tympanoplasty Surgery: A Randomized Controlled Trial","Inclusion Criteria:\n\n1. Patients acceptance\n2. Age: 21-65 years old\n3. Sex: both sex (males or females).\n4. Physical status: American Society Anesthesiologist (ASA) І and II.\n5. Patients will be scheduled for elective unilateral tympanoplasty.\n\nExclusion Criteria:\n\n1. Contraindication of regional anesthesia: Coagulopathy or use of anticoagulant therapy -local infection at the site of injection- known allergy to local anesthetics (bupivacaine).\n2. Neurological disorders affecting sensation in the head and neck.\n3. Psychiatric illness, severe anxiety, or inability to cooperate during awake surgery.\n4. History of previous neck or parotid surgery affecting nerve anatomy.\n5. BMI \\> 35 (if it may interfere with ultrasound visualization or landmark identification).\n6. Pregnancy.\n7. Advanced cardiovascular, respiratory, hepatic and renal diseases","21 Years","65 Years",{"count":109,"type":19},128,[22],"The aim of this study to evaluate efficacy of ultrasound guided regional anesthesia in performing awake tympanoplasty surgery versus traditional general anesthesia",[113,27],"Ultrasound Guided Nerve Block",[115,116,117],"Ultrasound guided regional anesthesia","General anesthesia","Awake tympanoplasty","RECRUITING","2025-12-10",{"date":121,"type":37},"2025-12-11",{"date":119,"type":37},{"date":124,"type":19},"2026-10-01",{"name":126,"class":127},"Zagazig University","OTHER_GOV",{"id":129,"slug":130,"hasResults":11,"nctId":131,"briefTitle":132,"officialTitle":132,"acronym":133,"eligibilityCriteria":134,"healthyVolunteers":11,"sex":15,"minAge":16,"maxAge":4,"enrollmentInfo":135,"targetDuration":4,"studyType":20,"phases":137,"briefSummary":139,"conditions":140,"keywords":141,"overallStatus":33,"whyStopped":4,"lastUpdateSubmitDate":146,"lastUpdatePostDateStruct":147,"startDateStruct":149,"completionDateStruct":151,"leadSponsor":153,"locationsCount":45},"100604404","phase-3-echo-guided-scalp-blocks-and-incidence-of-postoperative-pain-in-scheduled-supratentorial-intracranial-surgery-100604404","NCT07149077","Echo-guided Scalp Blocks and Incidence of Postoperative Pain in Scheduled Supratentorial Intracranial Surgery.","ULTRASCALP","Inclusion Criteria:\n\n* Patient managed in the neurosurgical unit for supratentorial intracranial surgery.\n* Person affiliated or beneficiary of a social security plan.\n* Free, informed, and written consent signed by the participant and the investigating physician (at the latest on the day of inclusion and before any examination required by the research).\n\nExclusion Criteria:\n\n* Surgical procedure under awake surgery (systematic realization of scalp blocks necessary)\n* Aphasia of comprehension preoperatively or expected postoperatively or any other neurological impairment making self-evaluation of pain impossible.\n* Contraindication to the use of local anesthetics: allergy or history of intoxication to local anesthetics\n* Contraindication to adrenaline infiltration: severe ventricular rhythm disorders, severe obstructive cardiomyopathy, unstable coronary insufficiency, hypersensitivity to adrenaline.\n* Chronic pain patient or patient with daily preoperative consumption of morphine\n* Pregnant or breast-feeding woman\n* Patient under legal protection (persons deprived of liberty or under guardianship)",{"count":136,"type":19},230,[138],"PHASE3","Up to 30% of patients undergoing intracranial surgery present moderate to severe pain. In this type of surgery, the restriction of the pharmacopoeia, which goes against the concept of multimodal analgesia, results in the important use of opioids not without consequences in terms of complications. Numerous studies have highlighted the benefits of scalp blocks in postoperative pain. The originality of this study lies firstly in the fact that the scalp blocks will be guided by ultrasound and secondly, the incidence of severe pain after scalp blocks will be evaluated",[27],[142,143,144,145],"scalp block","neurosurgery","supratentorial surgery","craniotomy","2025-08-26",{"date":148,"type":37},"2025-08-29",{"date":150,"type":19},"2026-01",{"date":152,"type":19},"2028-01",{"name":154,"class":44},"University Hospital, Bordeaux"]