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Gabapentin for Postoperative Pain Management After Cardiac Surgery With Median Sternotomy

This study is not yet open for participant recruitment.
Study NCT00572208.   Last updated on December 11, 2007.   Information provided by University of Aarhus

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Descriptive Information Fields
Brief Title  Gabapentin for Postoperative Pain Management After Cardiac Surgery With Median Sternotomy
Official Title  Gabapentin for Postoperative Pain Management After Cardiac Surgery With Median Sternotomy
Brief Summary

In this study we will focus on the postoperative recovery. A successful postoperative recovery should bring the patient to at least to the pre-surgical level. This can probably be achieved by a multimodal approach where at least postoperative pain and PONV are managed.

The surgical injury results in immobilisation which again can result in impaired cardiac, respiratory and musculoskeletal system. Pain relief is a prerequisite for mobilisation and an early return to the pre-surgical level. The preferred drugs for postoperative pain management are opioids. Although opioids are known to be an effective analgesia, they have a series of side effects: nausea, vomiting, constipation, respiratory deficiency, delirium among others.

Gabapentin has been tested for post operative pain. Randomized Clinical Trials have reported a significant better pain scores with Gabapentin in several studies -most of them restricted to the postoperative period in the post-anaesthesia care unit in many different kind of surgeries.

We want to test if Gabapentin can be used instead of opioids for treatment of postoperative pain after heart surgery by median sternotomy.

Detailed Description
Study Phase
Study Type  Interventional
Study Design  Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Parallel Assignment
Primary Outcome Measure  Pain [ Time Frame: 1 month ] [ Designated as safety issue: No ]
Morphine consumption [ Time Frame: 1 month ] [ Designated as safety issue: No ]
Secondary Outcome Measure  PONV [ Time Frame: 1 month ] [ Designated as safety issue: No ]
Medication side effects [ Time Frame: 1 month ] [ Designated as safety issue: No ]
Hospital stay [ Time Frame: 1 month ] [ Designated as safety issue: No ]
VAS score and medication 30 days after the operation [ Time Frame: 1 month ] [ Designated as safety issue: No ]
Condition  Pain, Postoperative
Intervention  Drug: Gabapentin group
MEDLINE PMIDs
Links
Recruitment Information Fields
Recruitment Status  Not yet recruiting
Enrollment  64
Start Date  January 2008
Completion Date June 2008
Eligibility Criteria 

Inclusion Criteria:

  1. Patients scheduled for elective cardiac surgery with median sternotomy at the department of cardiac surgery, Aarhus University Hospital, Skejby.
  2. Patients older than 18 years.

Exclusion Criteria:

  1. Patients unable to cooperate.
  2. Known allergy for Gabapentin or opioids.
  3. Acute pancreatitis
  4. History of gastric or peptic ulcer.
  5. History of alcohol or drug abuse.
  6. Chronic pain or daily intake of analgesics or corticosteroids.
  7. Gastrointestinal obstruction
  8. Impaired liver function.
  9. Impaired kidney function.
  10. Previous operation with median sternotomy
  11. Pregnant women
Gender Both
Ages 18 Years and older
Accepts Healthy Volunteers No
Contacts ††
Contact: Imran Parvaiz, MD     +45 40547377     imran@dadlnet.dk    
Contact: Mariann T Jensen, MD         MTZ@sks.aaa.dk    
Location Countries  Denmark
Administrative Information Fields
NCT ID  NCT00572208
Organization ID Gabapentin01
Secondary IDs †† 2007-001479-12
Study Sponsor  Aarhus University Hospital
Collaborators ††
Investigators 
Principal Investigator:     Vibeke Hjortdal, MD, Dr.sci     Cardiothoracic and Vascular Surgery Department, Aarhus University Hospital, Skejby    
Information Provided By University of Aarhus
Verification Date December 2007
First Received Date  December 11, 2007
Last Updated Date December 11, 2007

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.




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