Gabapentin for Postoperative Pain Management After Cardiac Surgery With Median Sternotomy
2 other identifiers
interventional
64
1 country
2
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jan 2008
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
December 11, 2007
CompletedFirst Posted
Study publicly available on registry
December 12, 2007
CompletedStudy Start
First participant enrolled
January 1, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2009
CompletedFebruary 13, 2009
February 1, 2009
1.1 years
December 11, 2007
February 12, 2009
Conditions
Outcome Measures
Primary Outcomes (2)
Pain
1 month
Morphine consumption
1 month
Secondary Outcomes (4)
PONV
1 month
Medication side effects
1 month
Hospital stay
1 month
VAS score and medication 30 days after the operation
1 month
Study Arms (2)
1
ACTIVE COMPARATORGabapentin group
2
NO INTERVENTIONplacebo
Interventions
Gabapentin group: Preoperative (2 h before surgery): Tablet Gabapentin 1200 mg (blinded) 1. st Postoperative day: Tablet Gabapentin 300 mg twice a day (blinded) 2. nd Postoperative day: Tablet Gabapentin 300 mg twice a day (blinded) 3. rd Postoperative day: Tablet Gabapentin 300 mg twice a day (blinded) 4. th Postoperative day: Tablet Gabapentin 300 mg twice a day (blinded) 5. th Postoperative day: Tablet Gabapentin 300 mg twice a day (blinded)
Eligibility Criteria
You may qualify if:
- Patients scheduled for elective cardiac surgery with median sternotomy at the department of cardiac surgery, Aarhus University Hospital, Skejby.
- Patients older than 18 years.
You may not qualify if:
- Patients unable to cooperate.
- Known allergy for Gabapentin or opioids.
- Acute pancreatitis
- History of gastric or peptic ulcer.
- History of alcohol or drug abuse.
- Chronic pain or daily intake of analgesics or corticosteroids.
- Gastrointestinal obstruction
- Impaired liver function.
- Impaired kidney function.
- Previous operation with median sternotomy
- Pregnant women
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Cardiothoracic and Vascular Surgery Department, Aarhus University Hospital, Skejby
Aarhus, 8200, Denmark
Cardiothoracic and vascular department, Skejby Sygehus
Aarhus, Denmark
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Vibeke Hjortdal, MD, Dr.sci
Cardiothoracic and Vascular Surgery Department, Aarhus University Hospital, Skejby
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
December 11, 2007
First Posted
December 12, 2007
Study Start
January 1, 2008
Primary Completion
February 1, 2009
Study Completion
February 1, 2009
Last Updated
February 13, 2009
Record last verified: 2009-02