Major breast surgery, Postoperative analgesia, Chronic post surgical pain Nefopam, Parecoxib, Postoperative analgesia, Major breast surgery, Chronic post surgical pain
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients undergoing elective unilateral major breast surgery including mastectomy, mastectomy with sentinel lymph node biopsy and modified radical mastectomy, 2. Age 20 to 65 years old, 3. ASA physical class 1 to 3
Exclusion criteria
Exclusion criteria: 1. Known allergy to study drugs including nefopam, paracetamol, parecoxib, fentanyl, morphine, 2. Contraindication to nefopam administration, 3. Contraindication to parecoxib administration
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative cumulative morphine consumption At 24 hours postoperative Postoperative cumulative morphine consumption | — |
Secondary
| Measure | Time frame |
|---|---|
| Chronic post surgical pain At 3 months postoperative Chronic post surgical pain,Incidence of opioid related side effects within 48 hours postoperative Incidence of opioid related side effects,numerical pain score at rest and movement 24 hours postoperative numerical pain score at rest and movement | — |
Countries
Thailand
Contacts
Department of Anesthesiology, Faculty of Medicine, Khon Kaen University