Premedication with pregabalin 75 or 150 mg with ibuprofen to control pain after day-case gynaecological laparoscopic surgery
Autor: | Kari Korttila, Ritva Jokela, Minna Tallgren, Maija Haanpää, Jouni Ahonen |
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Rok vydání: | 2008 |
Předmět: |
Adult
Laparoscopic surgery medicine.medical_specialty Visual analogue scale Premedication medicine.medical_treatment Analgesic Pregabalin Ibuprofen Fentanyl 03 medical and health sciences Gynecologic Surgical Procedures 0302 clinical medicine Double-Blind Method 030202 anesthesiology medicine Humans gamma-Aminobutyric Acid Analgesics Pain Postoperative Dose-Response Relationship Drug business.industry Codeine Middle Aged 3. Good health Acetaminophen Surgery Anesthesiology and Pain Medicine Ambulatory Surgical Procedures Patient Satisfaction Anesthesia Drug Therapy Combination Female Laparoscopy business 030217 neurology & neurosurgery medicine.drug |
Zdroj: | British Journal of Anaesthesia. 100:834-840 |
ISSN: | 0007-0912 |
Popis: | Background. Multimodal pain management has been suggested to improve postoperative analgesia. In this study, we evaluated the quality of analgesia in women undergoing day-case gynaecological laparoscopic surgery, after premedication with pregabalin 75 mg (P75) or 150 mg (P150), compared with diazepam 5 mg (D5). All patients were given ibuprofen 800 mg orally. Methods. Altogether 90 consenting women were anaesthetized in a standardized fashion. Postoperative analgesia was provided by ibuprofen 800 mg twice a day with fentanyl i.v. on request in the recovery room (RR), and combination tablets with acetaminophen and codeine after the RR. The visual analogue scale (VAS) scores for pain and side-effects and the amounts of postoperative analgesics were recorded for 24 h after surgery. The areas under the curves (AUC) were calculated for the VAS scores for pain at rest, pain in motion, and pain at cough 1–8 and 1–24 h after surgery. Results. The median AUC values for VAS scores for pain at rest (P¼0.048) and in motion (P¼0.046) 1–8 h after surgery were lower in the P150 group than that in the D5 group. The amounts of rescue analgesics or the degree of drowsiness did not differ in the three study groups. Conclusions. Analgesia was better after premedication with pregabalin 150 mg than after diazepam 5 mg, both with ibuprofen 800 mg, during the early recovery after day-case gynaecological laparoscopic surgery. Pregabalin 150 mg did not reduce the amount of postoperative analgesics required. Br J Anaesth 2008; 100: 834–40 |
Databáze: | OpenAIRE |
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