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Efficacy of Gabapentin in Prevention of Tourniquet Pain and Hypertension

Efficacy of Gabapentin in Prevention of Tourniquet Pain and Hypertension During Orif of Tibia Fracture Under General Anesthesia

Status
Withdrawn
Phases
Early Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01441531
Enrollment
0
Registered
2011-09-27
Start date
2012-01-31
Completion date
2014-06-30
Last updated
2015-03-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Tourniquet-induced Hypertension, Tourniquet-induced Pain

Keywords

narcotic use, Other Acute Pain

Brief summary

The purpose of the study is to find out if taking a dose of gabapentin 600 mg by mouth (po) before surgery will help prevent the development of tourniquet pain and hypertension while the tourniquet is inflated during orif of tibia fracture.

Interventions

DRUGgabapentin 600 mg po

Given one hour before surgery

DRUGPlacebo pill given one hour before surgery

Placebo pill given

Sponsors

Baylor College of Medicine
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 64 Years
Healthy volunteers
No

Inclusion criteria

* Patient ages 18-64 * ASA physical status 1-3 * Schedule for orif tibia fracture with use of pneumatic tourniquet

Exclusion criteria

* Allergy to study medications * polytrauma * lower extremity crush injury * chronic opioid use * sickle cell disease or trait * peripheral vascular disease * poorly controlled hypertension * history of DVT/PE * morbid obesity (BMI \> 35) * patient or surgeon refusal * patient inability to properly describe postoperative pain to investigators

Design outcomes

Primary

MeasureTime frameDescription
Incidence of tourniquet-induced hypertensionDuring the tourniquet inflation time periodPrimary outcome is incidence of tourniquet-induced hypertension, which is defined as an increase of systolic or diastolic blood pressure \> 30% from baseline. This will be looked at during the time of tourniquet inflation (from inflation to deflation) during the actual surgical procedure. Usual maximum inflation time is 120 minutes.

Secondary

MeasureTime frameDescription
Postoperative pain24 hoursPostoperative pain scores for 24 hours after surgery
Narcotic use24 hoursTotal use of morphine, vicodin during 24 hours after surgery

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026