Post-thoracotomy Pain
Conditions
Brief summary
A total of 60 patients scheduled for thoracotomy with the aim of excision of pleural or lung cancer, will be randomized by the use of a computer-generated table of random numbers to receive duloxetine 60 mg orally 2 hours before the surgical procedure and at 24 hours after the surgical procedure or a placebo pill following the same time schedule.
Interventions
duloxetine 60 mg orally 2 hours before the surgical procedure and at 24 hours after the surgical procedure
placebo pill orally 2 hours before the surgical procedure and at 24 hours after the surgical procedure
Sponsors
Study design
Eligibility
Inclusion criteria
* ASA I, II, and III patients scheduled for thoracotomy for pleural or lung cancer resection. * Age above 18 years & less than 65 years. * Adequate coagulation function within 30 days of surgery, defined as platelet count 100,000/mL or more, INR≤ 1.5, and partial thromboplastin time ≤40 seconds.
Exclusion criteria
* Allergy to duloxetine or to local anesthetics. * Patients with educational, psychiatric (untreated or poorly controlled schizophrenia, major depression, or bipolar disorder), or communication (language) barriers that would prevent understanding of the informed consent & preclude accurate assessment of postoperative pain and/or ability to answer questions about pain. * Patients with severe renal and/or liver disease. * History of chronic pain, long term narcotic use and/or antidepressants. * Reasons for exclusion after randomization will be protocol violations or patient request. * Fever, evidence of infection, or other coexisting medical conditions that would preclude epidural placement.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Total dose of morphine needed to treat postoperative pain | 48 hours | Total dose of morphine needed to treat postoperative pain over 48 hours of study period |
Countries
Egypt