Tourniquet-induced Hypertension, Tourniquet-induced Pain
Conditions
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
Given one hour before surgery
Placebo pill given
Sponsors
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Incidence of tourniquet-induced hypertension | During the tourniquet inflation time period | Primary 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
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pain | 24 hours | Postoperative pain scores for 24 hours after surgery |
| Narcotic use | 24 hours | Total use of morphine, vicodin during 24 hours after surgery |
Countries
United States