Chronic pain in the chest incision site (sternotomy) after cardiac surgery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Informed Consent First time sternotomy for coronary artery bypass grafting (CABG) Patient aged 18 - 80 years Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Any inclusion criteria not met Emergency surgery (decision to operate taken on the day of surgery) Previous sternotomy Preoperative renal failure (eGFR <60 ml/min) Ejection fraction less than 50% on pre operative echocardiography History of chronic non-anginal pain Chronic pain medication other than paracetamol and non-steroidal anti-inflammatory drugs Concurrent use of oxycodone, lorazepam, or ethanol. Allergy to pregabalin, gabapentin or ketamine Pregnancy Limited understanding of numerical scoring scales Previous participation in other trials investigating analgesic agents or any IMP in previous three months
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The hypothesis to be tested is that the group receiving the medication will have a lower incidence of chronic pain at three months compared to the control group;Secondary Objective: Secondary measures will include effects of the medication on pain in the acute setting (at 6 and 12 hours after operation) as well as survival at 28 days and quality of life and satisfaction with pain relief at 3 months;Primary end point(s): Numerical Pain Score (around sternotomy incision site) at 3 months post surgery, at rest and following 3 maximal coughs. | — |
Countries
United Kingdom