Acute postoperative movement-evoked pain after elective open total abdominal hysterectomy. Mirogabalin
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Female patients aged 18-65 years. 2. Scheduled for elective open abdominal hysterectomy. 3. ASA physical status I-III. 4. Capable of using IV-PCA morphine.
Exclusion criteria
Exclusion criteria: 1. Allergy or contraindications to mirogabalin, opioids, or gabapentinoids. 2. Chronic pain disorders requiring long-term strong opioid therapy or daily intake of strong opioids. 3. Preoperative strong opioid or gabapentinoid use. 4. Renal impairment with creatinine clearance <30 mL/min. 5. History of substance abuse or psychiatric illness, or pregnancy. 6. Neurological disorders affecting pain perception. 7. Refusal to participate.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Movement-evoked pain at 24 hours postoperatively 24 hours postoperatively Numerical Rating Scale (0-10) | — |
Secondary
| Measure | Time frame |
|---|---|
| Movement-evoked pain at Post Anesthesia Care Unit Upon arrival at Post Anesthesia Care Unit Numerical Rating Scale 0-10,Movement-evoked pain at 2 hours postoperatively 2 hours postoperatively Numerical Rating Scale 0-10,Movement-evoked pain at 6 hours postoperatively 6 hours postoperatively Numerical Rating Scale 0-10,Movement-evoked pain at 12 hours postoperatively 12 hours postoperatively Numerical Rating Scale 0-10,Cumulative opioid consumption Within the first 24 hours postoperatively Total cumulative opioid consumption in intravenous morphine equivalents (mg) from intravenous-patient controlled analgesia,Sedation score Postoperative period within 24 hours Sedation score (0, 1, 2, 3, S),Quality of recovery 24 hours postoperatively Quality of recovery -14-Thai (QoR-14-Thai),Patient satisfaction 24 hours postoperatively Satisfaction score 0-5,Adverse events From drug administration until 24 hours postoperatively Incidence of somnolence, dizziness, headache, nausea, blurred vision, gait disturbance, fatigue, constipation, peripheral edema | — |
Countries
Thailand
Contacts
Department of Anesthesiology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University