Effects of Preoperative Gabapentin Versus Pregabalin on Shoulder Pain After Laparoscopic Cholecystectomy

NCT ID: NCT03241875

Last Updated: 2017-10-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-12-01

Study Completion Date

2017-09-28

Brief Summary

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The aim of this study is to evaluate the effect of premedication with pregabalin or gabapentin versus placebo on postoperative shoulder pain after laparoscopic cholecystectomy.

Detailed Description

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Preoperative premedication with gabapentins reduces preoperative anxiety, stress response to surgical stimuli, decreases anesthetic use. The incidence of postoperative nausea and vomiting appears to be decreased. The other desired effect of gabapentins is the reduction in the intensity of postoperative pain after laparoscopic surgery.

Conditions

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Pain, Postoperative Cholecystectomy, Laparoscopic

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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placebo

Patients receive 2 capsules as placebo 2 hours before anesthesia. The capsules are delivered by the hospital pharmacy.

Group Type PLACEBO_COMPARATOR

Placebo oral capsule

Intervention Type DRUG

In this group, no premedication is performed, but patients receive 2 capsules of placebo 2 hours before anesthetic induction.

pregabalin

patients receive 2 capsules of pregabalin (pregabalin 75), two hours before anesthesia.

Group Type EXPERIMENTAL

Pregabalin 75mg

Intervention Type DRUG

In this group, premedication is performed with 2 capsules of pregabalin 2 hours before anesthetic induction.

gabapentin

patients receive 2 capsules of gabapentin (gabapentin 300), two hours before anesthesia.

Group Type EXPERIMENTAL

Gabapentin 300mg

Intervention Type DRUG

In this group, premedication is performed with 2 capsules of gabapentin 2 hours before anesthetic induction.

Interventions

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Pregabalin 75mg

In this group, premedication is performed with 2 capsules of pregabalin 2 hours before anesthetic induction.

Intervention Type DRUG

Gabapentin 300mg

In this group, premedication is performed with 2 capsules of gabapentin 2 hours before anesthetic induction.

Intervention Type DRUG

Placebo oral capsule

In this group, no premedication is performed, but patients receive 2 capsules of placebo 2 hours before anesthetic induction.

Intervention Type DRUG

Other Intervention Names

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placebo

Eligibility Criteria

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Inclusion Criteria

* uncomplicated laparoscopic cholecystectomy
* American Society of Anesthesiologists (ASA) status \< 3

Exclusion Criteria

* acute cholecystitis
* conversion to open cholecystectomy
* history of epilepsia, psychiatric disorders and cognitive impairment
* Pregnancy and breastfeeding
* allergy to pregabalin and/or gabapentin
* Chronic pain
* Chronic medication by corticosteroids, neuroleptics or non steroidal anti inflammatory drugs
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Faculty of Medicine, Sousse

OTHER

Sponsor Role lead

Responsible Party

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Mohamed Said NAKHLI

MD, anesthesia and intensive care

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mohamed Said Nakhli, MD

Role: PRINCIPAL_INVESTIGATOR

Faculty of Medicine, Sousse

Locations

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Sahloul Teaching Hospital

Sousse, , Tunisia

Site Status

Countries

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Tunisia

References

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Tiippana EM, Hamunen K, Kontinen VK, Kalso E. Do surgical patients benefit from perioperative gabapentin/pregabalin? A systematic review of efficacy and safety. Anesth Analg. 2007 Jun;104(6):1545-56, table of contents. doi: 10.1213/01.ane.0000261517.27532.80.

Reference Type RESULT
PMID: 17513656 (View on PubMed)

Valadan M, Banifatemi S, Yousefshahi F. Preoperative Gabapentin to Prevent Postoperative Shoulder Pain After Laparoscopic Ovarian Cystectomy: A Randomized Clinical Trial. Anesth Pain Med. 2015 Dec 5;5(6):e31524. doi: 10.5812/aapm.31524. eCollection 2015 Dec.

Reference Type RESULT
PMID: 26705527 (View on PubMed)

Agarwal A, Gautam S, Gupta D, Agarwal S, Singh PK, Singh U. Evaluation of a single preoperative dose of pregabalin for attenuation of postoperative pain after laparoscopic cholecystectomy. Br J Anaesth. 2008 Nov;101(5):700-4. doi: 10.1093/bja/aen244. Epub 2008 Aug 20.

Reference Type RESULT
PMID: 18716003 (View on PubMed)

Nakhli MS, Kahloul M, Jebali C, Frigui W, Naija W. Effects of Gabapentinoids Premedication on Shoulder Pain and Rehabilitation Quality after Laparoscopic Cholecystectomy: Pregabalin versus Gabapentin. Pain Res Manag. 2018 Jul 9;2018:9834059. doi: 10.1155/2018/9834059. eCollection 2018.

Reference Type DERIVED
PMID: 30123399 (View on PubMed)

Other Identifiers

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Nakhli anesthesia sahloul

Identifier Type: -

Identifier Source: org_study_id