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NOT YET RECRUITING
NCT07469332
NA

Comparison of the Effects of Moderate- and High-Dose Glucocorticoids on Postoperative Recovery

Sponsor: Ankara City Hospital Bilkent

View on ClinicalTrials.gov

Summary

Laparoscopic cholecystectomy is a commonly performed minimally invasive surgical procedure; however, postoperative pain, nausea, and delayed recovery remain clinically relevant problems. Glucocorticoids such as dexamethasone are widely used in perioperative care for the prevention of postoperative nausea and vomiting and as part of multimodal analgesia strategies. This prospective randomized controlled trial aims to compare the effects of moderate- and high-dose intravenous dexamethasone administered intraoperatively on postoperative recovery in patients undergoing elective laparoscopic cholecystectomy. The primary outcomes include postoperative nausea and vomiting, inflammatory markers (CRP and WBC), and Quality of Recovery-15 (QoR-15) scores. Secondary outcomes include postoperative pain scores, intraoperative remifentanil consumption, postoperative opioid consumption, and adverse events.

Official title: Comparison of the Effects of Moderate- and High-Dose Glucocorticoid Administration on Postoperative Recovery: A Prospective Randomized Controlled Trial

Key Details

Gender

All

Age Range

18 Years - 65 Years

Study Type

INTERVENTIONAL

Enrollment

135

Start Date

2026-03-30

Completion Date

2026-07-30

Last Updated

2026-03-13

Healthy Volunteers

No

Interventions

OTHER

Saline (0.9% NaCl)

Intravenous normal saline 4 mL administered intraoperatively to S group

PROCEDURE

TAP Block

Oblique subcostal TAP block is administered to all groups

DRUG

moderate dose Dexamethasone

Intravenous dexamethasone administered intraoperatively at 0.1 mg/kg (D1)

DRUG

High dose dexamethasone

Intravenous dexamethasone administered intraoperatively at 0.2 mg/kg (D2; maximum 20 mg).

Locations (1)

Ankara Bilkent City Hospital Department of Anesthesiology and Reanimation

Ankara, Çankaya, Turkey (Türkiye)