Bariatric Surgery Candidate, Obesity, Morbid
Conditions
Keywords
bariatric surgery, morbid obesity, nonopioid analgesics
Brief summary
The aim of this study is to evaluate and to compare the effectiveness of iv ibuprofen and iv paracetamol during bariatric surgery.
Detailed description
Evaluation of effectiveness of iv ibuprofen and iv paracetamol on postoperative pain, opioid consumption, and side effects in morbidly obese patients undergoing bariatric laparoscopic surgery
Interventions
iv paracetamol flakon, 1 gram infusion at 30 min; iv morphine with patient controlled analgesia (1 mg demand bolus dose, 20 min lockout time)
iv ibuprofen flakon, 800 mg; iv morphine with patient controlled analgesia (1 mg demand bolus dose, 20 min lockout time)
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients undergoing laparoscopic sleeve gastrectomy and gastric by-pass surgery
Exclusion criteria
* Hepatic disfunction, * Renal failure (creatinine \> 3 mg/dL,creatinin clearance \< 60 mL/dk or urine out-put \< 500 mL/day ) or a history of dialysis 28 days before surgery, * A history of gastrointestinal bleeding or bleeding diathesis 6 weeks before surgery, therapeutic dose of anticoagulation therapy (except subcutaneous heparin prophylactic dose), * Angiotensin converting enzymes inhibitor or antihypertensive combination with furosemide, * A history of opioid addiction or opioid tolerance * Allergy to study drugs, * Noncooperative patients for pain assessments
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Opioid (morphine) consumption | First 24 hours during postoperative period | iv morphine patient controlled analgesia for multimodal analgesia |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pain level | First 24 hours during postoperative period | Visual analog scale for evaluation of postoperative pain levels |
Other
| Measure | Time frame | Description |
|---|---|---|
| Side effects | First 24 hours during postoperative period | Side effects of study drugs and opioids |
Countries
Turkey (Türkiye)