Hyperalgesia
Conditions
Keywords
serial cataract surgery, hyperalgesia, gabapentin, central sensitization
Brief summary
Gabapentin pretreatment may reduce hyperalgesia occurring at the second surgery in serial, bilateral cataract surgery.
Detailed description
Hyperalgesia occurring at the second operation in bilateral eye surgery is well known, and mechanism of central sensitization might be involved. Gabapentin is known to lower the effect of central sensitization, and its effect on acute postoperative pain has been reported. Therefore, pretreatment of gabapentin after first operation may reduce the pain at second operation.
Interventions
100 mg tid of gabapentin is prescribed to the patient for 1 week after the first eye surgery
the same regimen of placebo drug is prescribed to the patient for 1 week after the first eye surgery
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient of ASA(American Cociety of Anesthesiology) class I, II, III between age 20 to 80, scheduled for serial bilateral cataract surgery(1 weel interval)
Exclusion criteria
* refuse to participate * BMI\<16 or BMI \>30 * severe cardiovascular, pulmonary, renal disease * alcohol or drug abuse * currently taking CNS(central nervous system) inhibitory drugs * taking antiacids * depressive disorder pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| proportion of subjects who answer that pain was greater in the second eye surgery | Intra operative (pain while fluid injection to anterior chamber) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| perioperative pain | end of surgery, post-op 1hr at PACU, at out-patient ward, post-op 1 day | evaluation of overall perioperative pain |
Other
| Measure | Time frame | Description |
|---|---|---|
| satisfaction | intra operative | evaluation of satisfaction of both operator and patient |
| anxiety | baseline (at OR room arrival, just before sterile draping) | evaluation of patient's anxiety |
Countries
South Korea