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Efficacy of Gabapentin in Prevention of Tourniquet Pain and Hypertension

Early Phase 1
Withdrawn
Conditions
Tourniquet-induced Hypertension
Tourniquet-induced Pain
Interventions
Drug: Placebo pill given one hour before surgery
Drug: gabapentin 600 mg po
Registration Number
NCT01441531
Lead Sponsor
Baylor College of Medicine
Brief Summary

The purpose of the study is to find out if taking a dose of gabapentin 600 mg by mouth (po) before surgery will help prevent the development of tourniquet pain and hypertension while the tourniquet is inflated during orif of tibia fracture.

Detailed Description

Not available

Recruitment & Eligibility

Status
WITHDRAWN
Sex
All
Target Recruitment
Not specified
Inclusion Criteria
  • Patient ages 18-64
  • ASA physical status 1-3
  • Schedule for orif tibia fracture with use of pneumatic tourniquet
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Exclusion Criteria
  • Allergy to study medications
  • polytrauma
  • lower extremity crush injury
  • chronic opioid use
  • sickle cell disease or trait
  • peripheral vascular disease
  • poorly controlled hypertension
  • history of DVT/PE
  • morbid obesity (BMI > 35)
  • patient or surgeon refusal
  • patient inability to properly describe postoperative pain to investigators
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Placebo sugar pillPlacebo pill given one hour before surgery-
Gabapentingabapentin 600 mg poGabapentin 600 mg po given 1 hour before surgery
Primary Outcome Measures
NameTimeMethod
Incidence of tourniquet-induced hypertensionDuring the tourniquet inflation time period

Primary outcome is incidence of tourniquet-induced hypertension, which is defined as an increase of systolic or diastolic blood pressure \> 30% from baseline. This will be looked at during the time of tourniquet inflation (from inflation to deflation) during the actual surgical procedure. Usual maximum inflation time is 120 minutes.

Secondary Outcome Measures
NameTimeMethod
Postoperative pain24 hours

Postoperative pain scores for 24 hours after surgery

Narcotic use24 hours

Total use of morphine, vicodin during 24 hours after surgery

Trial Locations

Locations (1)

Ben Taub General Hospital

🇺🇸

Houston, Texas, United States

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