Gabapentin

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dc.contributor.authorTuran, A
dc.contributor.authorWhite, PF
dc.contributor.authorKaramanlioglu, B
dc.contributor.authorMemis, D
dc.contributor.authorTasdogan, M
dc.contributor.authorPamukçu, Z
dc.contributor.authorYavuz, E
dc.date.accessioned2024-06-12T11:19:46Z
dc.date.available2024-06-12T11:19:46Z
dc.date.issued2006
dc.departmentTrakya Üniversitesien_US
dc.description.abstractThe cyclooxygenase-2 inhibitor, rofecoxib, was a popular analgesic adjuvant for improving perioperative pain management. We designed this placebo-controlled study to test the hypothesis that gabapentin could produce similar reductions in postoperative pain and opioid analgesic usage, thereby improving the recovery process. One hundred patients undergoing abdominal hysterectomy procedures were randomly assigned to one of four treatment groups: 1) control group received placebo capsules and pills before and for 2 days after surgery, 2) rofecoxib group received 50 mg/d PO and placebo capsules before and after surgery and, 3) gabapentin group received 1.2 g/d PO and placebo pills before and after surgery, and 4) combination group received rofecoxib 50 mg/d and gabapentin 1.2 g/d PO before and after surgery. The anesthetic technique was standardized and the postoperative assessments included verbal rating scales for pain and sedation, IV morphine usage, quality of recovery assessment, recovery of bowel function, resumption of normal activities, and patient satisfaction with their pain management. Postoperative pain scores were significantly reduced in all three analgesic treatment groups (versus control group). Compared with the control group, patient-controlled analgesia morphine usage was also significantly reduced in the 3 analgesic treatment groups at 1, 8,24, and 30 h after surgery. Total PCA morphine usage was decreased by 43%, 24%, and 50% in groups 2,3, and 4, respectively, compared with group 1. Oral analgesic consumption was also smaller in groups 2 and 4 when compared with the control group. The opioid-sparing effects of rofecoxib and gabapentin lead to a faster recovery of bowel function. Discharge eligibility scores in groups 2 and 4 were improved at 24 h when compared with group 1, and patient satisfaction with postoperative pain management was significantly higher at 24 h in all 3 analgesic treatment groups. At the 72 h followup, all of the patients in group 4 were completely satisfied with their pain management compared with only 32%, 64%, and 72% in groups 1, 2, and 3, respectively. Gabapentin (1.2 g/d PO) appears to be an acceptable alternative to rofecoxib (50 mg/d PO) for short-term use as an adjuvant to opioid analgesics in patients undergoing lower abdominal surgery.en_US
dc.identifier.doi10.1213/01.ane.0000184824.43411.63
dc.identifier.endpage181en_US
dc.identifier.issn0003-2999
dc.identifier.issue1en_US
dc.identifier.pmid16368826en_US
dc.identifier.scopus2-s2.0-29844444047en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage175en_US
dc.identifier.urihttps://doi.org/10.1213/01.ane.0000184824.43411.63
dc.identifier.urihttps://hdl.handle.net/20.500.14551/25332
dc.identifier.volume102en_US
dc.identifier.wosWOS:000234275700030en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofAnesthesia And Analgesiaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectRandomized Controlled-Trialen_US
dc.subjectNose-Throat Surgeryen_US
dc.subjectPostoperative Painen_US
dc.subjectPreventing Painen_US
dc.subjectOtolaryngologic Surgeryen_US
dc.subjectAbdominal Hysterectomyen_US
dc.subjectAmbulatory Surgeryen_US
dc.subjectRofecoxiben_US
dc.subjectEfficacyen_US
dc.subjectCelecoxiben_US
dc.titleGabapentinen_US
dc.typeArticleen_US

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