Anaesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Age 18–64 years (non-elderly). • BMI 30 -40 (mild and moderate obese). • ASA physical status II OR III. • Scheduled elective laparoscopic cholecystectomy under general anesthesia. • Able to understand the VAS and give informed consent.
Exclusion criteria
Exclusion criteria: • Patient refusal. • Known hypersensitivity to study medications. • Chronic opioid use. 4 • Preexisting renal impairment: -Baseline serum creatinine >1.4 mg/dL. -Renal impairment by history. -Nephropathy or CKD by imaging. -Long standing DM. -Uncontrolled DM. • Active peptic ulcer disease or history of gastrointestinal bleeding. • Coagulopathy. • Conversion to open cholecystectomy intraoperatively.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cumulative opioid consumption (IV morphine equivalent). | — |
Secondary
| Measure | Time frame |
|---|---|
| Mean pain intensity (VAS): Measured at rest over the first 24 hours (time points: 0, 2, 4, 6, 12, 24 hours postoperatively).;Time to first rescue analgesic.;Incidence of opioid-related side effects (nausea/vomiting, sedation).;Assess safety: changes in serum creatinine at 24 hours, incidence of clinically significant bleeding or hemoglobin drop(change in bleeding time / surgical drain output / need for intervention), and other adverse events. | — |
Countries
Egypt
Contacts
Professor ;Professor