Cardiopulmonary Bypass
Conditions
Keywords
gabapentin, pharmacokinetics, visual analogue pain scale, cardiopulmonary bypass
Brief summary
This open label investigation is to determine whether cardiopulmonary bypass affects plasma gabapentin concentration after preoperative administration in the setting of cardiac bypass surgery. Following signed informed consent, 16 patients scheduled for cardiac bypass surgery will be given gabapentin (600mg, oral) 1 hour prior to surgery, 1 hour following extubation and then every 8 hours for a total of 4 doses. Plasma gabapentin levels will be measured prior to induction, prior to bypass, 10 min into the bypass procedure, 10 minutes before separation from bypass, 30 minutes following bypass and then before and 2 hours following each of the next 3 doses of gabapentin. Pain scores, sedation scores, side effects and morphine equivalents will be documented for one day following surgery.
Interventions
Subjects will be administered gabapentin (600 mg, orally) 1 hour prior to cardiac bypass surgery, 1 hour following extubation, then every 8 hours for a total of 4 doses.
Sponsors
Study design
Eligibility
Inclusion criteria
* scheduled for cardiac bypass surgery involving median sternotomy and CPB * signed informed consent
Exclusion criteria
* history of chronic pain * regular opioid consumption * regular anticonvulsant consumption * regular gabapentin or pregabalin use * recent congestive heart failure * ejection fraction \<35% * chronic pulmonary disease * liver disease * renal insufficiency (preoperative creatinine \> 140umol/L * history of adverse reaction to acetaminophen
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| plasma concentrations of gabapentin | 1 hour before surgery, 10 min following initiation of bypass, 10 min before separation from bypass, 30 min following bypass, and then before and 2 hours following each of the next 3 doses of gabapentin |
Countries
Canada