Pain Postoperative
Conditions
Keywords
Pregabalin, Laparoscopic cholecystectomy, Postoperative pain, Opioid consumption
Brief summary
The purpose of this study is to evaluate how effective is the preoperative administration of pregabalin 600mg, to attenuate postoperative pain and opioids consumption after laparoscopic cholecystectomy.
Detailed description
Acute pain frequently occurs during the postoperative period.Not treated acute postoperative pain may predict the development of chronic pain.Recently, the analgesic effect of pregabalin, as a part of a multimodal analgesia, has been evaluated in many studies. They have shown that pregabalin may have a role in the post operative pain management, as an adjunct. Pregabalin is an anticonvulsant and anxiolytic drug, which have a more favorable pharmacokinetic profile from its predecessor gabapentin. Acute postoperative pain after laparoscopic cholecystectomy is complex in nature. Postoperative pain is the main complaint and the primary reason for delay discharge after laparoscopic cholecystectomy.The study includes patients undergoing laparoscopic cholecystectomy.
Interventions
Preoperative administration of pregabalin 600mg
Preoperative administration of a matching placebo
Sponsors
Study design
Eligibility
Inclusion criteria
* ASA physical status I-II
Exclusion criteria
* Renal or hepatic insufficiency * Alcohol or drugs abuse * History of chronic pain or daily intake of analgesics * Uncontrolled medical disease (hypertension, diabetes) and cardiovascular problems. Psychiatric disorders * Inability of patients to use PCA pump * History of intake of non-steroidal anti-inflammatory drugs the last 24 hours before surgery,use of drainage after the surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pain | Every 8 hours | VAS = visual analoque scale 0-10 mm (0=no pain to 10= worst imaginable pain).Measured on the arrival of the patient to the recovery room(0 hrs), one hour later, and then every eight hours until the completion of 24 hours after operation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Side- effects | 0,1, 8, 16 & 24 hours | To determine the occurrence of side effects such as postoperative nausea,vomiting, itching, headache, dizziness, blurred vision, lack of concentration, shoulder pain, sedation, and respiratory depression. |
| Postoperative opioid consumption | 0,1, 8, 16 & 24 hour | The total dose of morphine was calculated as mg and included opioids administered by PCA pump.On arrival in the PACU patients received morphine via PCA pump.Postoperative morphine requirements were assessed on the arrival of the patient to the recovery room (0 hrs), one hour later and then every eight hours, until the completion of 24 hours after operation. |
Countries
Greece