Postoperative Pain
Conditions
Keywords
ibuprofen, postoperative narcotics, visual analog pain scale, inguinal hernia repair, umbilical hernia repair
Brief summary
Caldolor® is an intravenous (IV) formulation of ibuprofen encompassing analgesic, anti-inflammatory and antipyretic (anti-fever) properties. Caldolor® is the first IV antipyretic approved by the US Food and Drug Administration (FDA), providing an alternate route for administration of ibuprofen when the oral route is not preferable. Recent studies have reported that Caldolor® decreases morphine use and pain at rest and with movement compared to patients not receiving this drug. The hypothesis of the proposed study is that a single dose of Caldolor® 800 mg given 30 minutes preoperatively for patients undergoing laparoscopic or open inguinal and/or umbilical hernia repair will result in a \>20% decrease in postoperative narcotic use within the first 24 hours and at 7 days, and decreased VAS Pain Score at 2 hours, 1 day, 3 days and 7 days after surgery. The use of less postoperative narcotics has been associated with a faster return of normal bowel function and resumption of normal ambulatory status thus resulting in improved general well being for the patient.
Interventions
800 mg IV ibuprofen 30 minutes preoperatively
IV normal saline
Sponsors
Study design
Eligibility
Inclusion criteria
* primary inguinal and/or umbilical hernia repair * age \> 18 years old
Exclusion criteria
* history of gastrointestinal bleeding * allergy to ibuprofen * creatinine \> 1.5 mg/dL
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative Narcotic Use | 7 days | Post-operatively, the patient will receive a journal to record daily medication used up to and including post-operative day 7. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative Visual Analog Pain Scale | 7 days | The patient will receive a Visual Analog Pain Scale to complete 2 hrs post-operatively, post-operative day 1, post-operative day 3 and post-operative day 7 |
Countries
United States