Multimodal and Unimodal Analgesia in Cholecystectomy
Study Details
Study Description
Brief Summary
Many surgical procedures are accompanied by postoperative pain with severity moderate, severe or extreme and insufficient postoperative pain control may cause risk of post-surgical complications and risk of chronic post-surgical pain The targets of preoperative pain management are to relieve patient suffering, reduce length of hospital stay and achieve early mobilization after surgery, decreasing opioid consumption and its side effects that are constipation, nausea, vomiting, dizziness, respiratory depression which is the most feared complication being life-threatening and some less common side effects as sedation
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 1/Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: multimodal pregabalin/ acetaminophen/ celecoxib |
Drug: Pregabalin 150mg
Pregabalin 150mg preoperative in unimodal group Pregabalin 150mg preoperative in multi-modal group
Drug: Acetaminophen 1 G Oral Tablet
Acetaminophen 1 G Oral Tablet preoperative in multi-modal group
Drug: Celecoxib 400Mg Oral Capsule
Celecoxib 400Mg Oral Capsule preoperative in multi-modal group
|
Active Comparator: unimodal Pregabalin |
Drug: Pregabalin 150mg
Pregabalin 150mg preoperative in unimodal group Pregabalin 150mg preoperative in multi-modal group
|
No Intervention: control
|
Outcome Measures
Primary Outcome Measures
- Postoperative visual analogue scale (VAS) [24 hour postoperative]
The visual analog scale (VAS) is a simple and often used method for evaluating variations in pain intensity.
- Amount of post operative Needed opioid analgesia [24 hour postoperative]
ampules of opioid analgesia needed after operation
Secondary Outcome Measures
- Type and amount of prescribed post operative non opioid analgesia [24 hour postoperative]
Type and amount of prescribed post operative non opioid analgesia
Other Outcome Measures
- Reported opioid side effects [24 hour postoperative]
Side effects reported after opioid administration eg. nausea, vomiting, respiratory depression etc..
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Patients undergoing laparoscopic cholecystectomy
-
Patients older than 18 years old
Exclusion Criteria:
-
Renal or hepatic or cardiac impairment patients
-
Patients with chronic pain history
-
Allergic patients after taking aspirin or other NSAIDs
-
patients with active gastrointestinal bleeding, ulcer and inflammatory bowel diseases or cerebrovascular bleeding
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Beni suef University hospital | Banī Suwayf | Egypt | ||
2 | Beni-Suef Hospital | Banī Suwayf | Egypt |
Sponsors and Collaborators
- October 6 University
- Beni-Suef University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- FWA00015574