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Pregabalin and Analgesia After Laparoscopic Cholecystectomy

Primary Purpose

Pain Postoperative

Status
Completed
Phase
Not Applicable
Locations
Greece
Study Type
Interventional
Intervention
Pregabalin
placebo
Sponsored by
Larissa University Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for Pain Postoperative focused on measuring Pregabalin, Laparoscopic cholecystectomy, Postoperative pain, Opioid consumption

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • ASA physical status I-II

Exclusion Criteria:

  • Renal or hepatic insufficiency
  • Alcohol or drugs abuse
  • History of chronic pain or daily intake of analgesics
  • Uncontrolled medical disease (hypertension, diabetes) and cardiovascular problems. Psychiatric disorders
  • Inability of patients to use PCA pump
  • History of intake of non-steroidal anti-inflammatory drugs the last 24 hours before surgery,use of drainage after the surgery

Sites / Locations

  • University Hospital of Larissa

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

Pregabalin

Placebo

Arm Description

Preoperative administration of pregabalin 600mg to patients undergo laparoscopic cholecystectomy.Patients receive oral Pregabalin 300 mg the night before the surgery, and another one dose of 300 mg 1 hour prior to surgery

Preoperative administration of placebo to patients undergo laparoscopic cholecystectomy.Patients receive oral Placebo the night before the surgery, and another one dose 1 hour prior to surgery.

Outcomes

Primary Outcome Measures

Postoperative pain
VAS = visual analoque scale 0-10 mm (0=no pain to 10= worst imaginable pain).Measured on the arrival of the patient to the recovery room(0 hrs), one hour later, and then every eight hours until the completion of 24 hours after operation.

Secondary Outcome Measures

Side- effects
To determine the occurrence of side effects such as postoperative nausea,vomiting, itching, headache, dizziness, blurred vision, lack of concentration, shoulder pain, sedation, and respiratory depression.
Postoperative opioid consumption
The total dose of morphine was calculated as mg and included opioids administered by PCA pump.On arrival in the PACU patients received morphine via PCA pump.Postoperative morphine requirements were assessed on the arrival of the patient to the recovery room (0 hrs), one hour later and then every eight hours, until the completion of 24 hours after operation.

Full Information

First Posted
March 23, 2011
Last Updated
January 28, 2013
Sponsor
Larissa University Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT01321801
Brief Title
Pregabalin and Analgesia After Laparoscopic Cholecystectomy
Official Title
Preoperative Use of Pregabalin and Analgesia Levels After Laparoscopic Cholecystectomy
Study Type
Interventional

2. Study Status

Record Verification Date
January 2013
Overall Recruitment Status
Completed
Study Start Date
November 2009 (undefined)
Primary Completion Date
October 2010 (Actual)
Study Completion Date
December 2010 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Larissa University Hospital

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to evaluate how effective is the preoperative administration of pregabalin 600mg, to attenuate postoperative pain and opioids consumption after laparoscopic cholecystectomy.
Detailed Description
Acute pain frequently occurs during the postoperative period.Not treated acute postoperative pain may predict the development of chronic pain.Recently, the analgesic effect of pregabalin, as a part of a multimodal analgesia, has been evaluated in many studies. They have shown that pregabalin may have a role in the post operative pain management, as an adjunct. Pregabalin is an anticonvulsant and anxiolytic drug, which have a more favorable pharmacokinetic profile from its predecessor gabapentin. Acute postoperative pain after laparoscopic cholecystectomy is complex in nature. Postoperative pain is the main complaint and the primary reason for delay discharge after laparoscopic cholecystectomy.The study includes patients undergoing laparoscopic cholecystectomy.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pain Postoperative
Keywords
Pregabalin, Laparoscopic cholecystectomy, Postoperative pain, Opioid consumption

7. Study Design

Primary Purpose
Supportive Care
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
50 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Pregabalin
Arm Type
Active Comparator
Arm Description
Preoperative administration of pregabalin 600mg to patients undergo laparoscopic cholecystectomy.Patients receive oral Pregabalin 300 mg the night before the surgery, and another one dose of 300 mg 1 hour prior to surgery
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Preoperative administration of placebo to patients undergo laparoscopic cholecystectomy.Patients receive oral Placebo the night before the surgery, and another one dose 1 hour prior to surgery.
Intervention Type
Drug
Intervention Name(s)
Pregabalin
Other Intervention Name(s)
Lyrica
Intervention Description
Preoperative administration of pregabalin 600mg
Intervention Type
Drug
Intervention Name(s)
placebo
Intervention Description
Preoperative administration of a matching placebo
Primary Outcome Measure Information:
Title
Postoperative pain
Description
VAS = visual analoque scale 0-10 mm (0=no pain to 10= worst imaginable pain).Measured on the arrival of the patient to the recovery room(0 hrs), one hour later, and then every eight hours until the completion of 24 hours after operation.
Time Frame
Every 8 hours
Secondary Outcome Measure Information:
Title
Side- effects
Description
To determine the occurrence of side effects such as postoperative nausea,vomiting, itching, headache, dizziness, blurred vision, lack of concentration, shoulder pain, sedation, and respiratory depression.
Time Frame
0,1, 8, 16 & 24 hours
Title
Postoperative opioid consumption
Description
The total dose of morphine was calculated as mg and included opioids administered by PCA pump.On arrival in the PACU patients received morphine via PCA pump.Postoperative morphine requirements were assessed on the arrival of the patient to the recovery room (0 hrs), one hour later and then every eight hours, until the completion of 24 hours after operation.
Time Frame
0,1, 8, 16 & 24 hour

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: ASA physical status I-II Exclusion Criteria: Renal or hepatic insufficiency Alcohol or drugs abuse History of chronic pain or daily intake of analgesics Uncontrolled medical disease (hypertension, diabetes) and cardiovascular problems. Psychiatric disorders Inability of patients to use PCA pump History of intake of non-steroidal anti-inflammatory drugs the last 24 hours before surgery,use of drainage after the surgery
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Chamaidi Sarakatsianou, RN, MSc
Organizational Affiliation
University Hospital of Larissa
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
George Tzovaras, MD
Organizational Affiliation
University Hospital of Larissa
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Georgia Stamatiou, MD
Organizational Affiliation
University Hospital of Larissa
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Elena Theodorou, MD
Organizational Affiliation
University Hospital of Larissa
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Stavroula Georgopoulou, MD
Organizational Affiliation
University Hospital of Larissa
Official's Role
Study Chair
Facility Information:
Facility Name
University Hospital of Larissa
City
Larissa
ZIP/Postal Code
41100
Country
Greece

12. IPD Sharing Statement

Citations:
PubMed Identifier
17507163
Citation
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Results Reference
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Citation
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Results Reference
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PubMed Identifier
17959981
Citation
Paech MJ, Goy R, Chua S, Scott K, Christmas T, Doherty DA. A randomized, placebo-controlled trial of preoperative oral pregabalin for postoperative pain relief after minor gynecological surgery. Anesth Analg. 2007 Nov;105(5):1449-53, table of contents. doi: 10.1213/01.ane.0000286227.13306.d7.
Results Reference
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PubMed Identifier
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Citation
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Results Reference
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Citation
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PubMed Identifier
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Citation
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Citation
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Citation
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Citation
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Citation
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Results Reference
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Pregabalin and Analgesia After Laparoscopic Cholecystectomy

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