Analgesia. Tubal sterilization
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Women scheduled for bilateral tubal ligation; age between 18 and 65 years.
Exclusion criteria
Exclusion criteria: Pregnant patients; history of intolerance or chronic use of opioids or other medications proposed in the study; chronic use or known melatonin intolerance; addicted to alcohol or drugs; use of analgesics, opioids or not, within 24 hours prior to the procedure; inability to provide informed consent and low easily identifiable cognition; patients who present contraindication to neuroaxis blockade.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Improvement of acute pain in the perioperative period of female surgical sterilization with decreased levels of pain assessed by means of the Numeral Verbal Scale (NVE) of pain in the periods of 10,20,30,40,50,60 minutes and 6,12,18 and 24 hours after surgery with a pain scale score of less than 4 in the melatonin group compared to values greater than 5 in the control group | — |
Secondary
| Measure | Time frame |
|---|---|
| Expected outcome 2: decreased need for complementary doses of analgesics in the intraoperative and postoperative periods evaluated by means of medical record in the periods of 10,20,30,40,50,60 minutes and 6,12,18 and 24 hours after surgery demonstrating use of lower doses by patients in the melatonin group compared to placebo;Expected outcome 3: improvement of the level of patient satisfaction assessed through the Quality of Recovery-40 (QoR-40) scale with patients in the placebo group presenting a higher score regarding the satisfaction of the surgical recovery with values close to 200 when compared to the placebo group may have values below 150;Expected outcome 1: decreased preoperative anxiety assessed using the Spielberg State Anxiety Inventory (STD) with values less than 33 in patients in the melatonin group measured 90 minutes after dosing | — |
Countries
Brazil
Contacts
Universidade Estadual Paulista "Júlio de Mesquita Filho"