MedPath

Preoperative Melatonin or Vitamin C Administration on Postoperative Analgesia

Phase 4
Completed
Conditions
Postoperative Pain
Interventions
Registration Number
NCT02639741
Lead Sponsor
Cukurova University
Brief Summary

The investigators designed a randomized double-blind placebo-controlled trial to evaluate the effect of preoperative single dose of oral melatonin and vitamin C administration on postoperative analgesia in patients undergoing elective major abdominal surgery.

Detailed Description

The investigators designed a randomized double-blind placebo-controlled trial to evaluate the effect of preoperative single dose of oral melatonin and vitamin C administration on postoperative analgesia in patients undergoing elective major abdominal surgery. One hundred-sixty five ASA I-II adult patients between 18-65 years of age, undergoing elective major abdominal surgery with general anesthesia will be included in this double blinded, randomised, controlled study. Patients will randomly divided into equal (n=55) three groups. Preoperatively, one hour before surgery, patients will receive melatonin (6 mg) in group M, vitamin C (2 gr) in group C or placebo tablet in group P orally. A standard anesthetic protocol will be administered to all patients. At the end of surgery, postoperative pain control will be provided via a patient controlled analgesia (PCA) device including morphine in all groups. Hemodynamic parameters, pain, sedation, patient satisfaction, total morphine consumption, supplement analgesic requirement, incidence of nausea and vomiting and other side effects will be recorded at 5, 10, 30 min and 1, 2, 4, 6, 8, 12, 24 hr after surgery.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
55
Inclusion Criteria

Patients undergoing elective major abdominal surgery with general anesthesia

Exclusion Criteria

A history of psychiatric disorders, chronic pain syndromes, obstructive sleep apnea, severe asthma, chronic obstructive pulmonary disease, congestive heart failure, hepatic or renal failure, patients with pregnancy or in lactation period or a history of allergic reaction to any drugs

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Oral Melatonin TabletPlaceboMelatonin, Vitamin C and placebo tablet Preoperative single oral dose of melatonin (6 mg) or placebo tablet will be given one hour before the start of anesthesia.
Oral Vitamin C TabletMelatoninMelatonin, Vitamin C and placebo tablet Preoperative single oral dose of vitamin C (2 gr) or placebo tablet will be given one hour before the start of anesthesia.
Oral Vitamin C TabletPlaceboMelatonin, Vitamin C and placebo tablet Preoperative single oral dose of vitamin C (2 gr) or placebo tablet will be given one hour before the start of anesthesia.
Oral Melatonin TabletMelatoninMelatonin, Vitamin C and placebo tablet Preoperative single oral dose of melatonin (6 mg) or placebo tablet will be given one hour before the start of anesthesia.
Oral Placebo TabletPlaceboPreoperative single oral dose of placebo tablet will be given one hour before the start of anesthesia.
Oral Melatonin TabletVitamin CMelatonin, Vitamin C and placebo tablet Preoperative single oral dose of melatonin (6 mg) or placebo tablet will be given one hour before the start of anesthesia.
Oral Vitamin C TabletVitamin CMelatonin, Vitamin C and placebo tablet Preoperative single oral dose of vitamin C (2 gr) or placebo tablet will be given one hour before the start of anesthesia.
Oral Placebo TabletMelatoninPreoperative single oral dose of placebo tablet will be given one hour before the start of anesthesia.
Oral Placebo TabletVitamin CPreoperative single oral dose of placebo tablet will be given one hour before the start of anesthesia.
Primary Outcome Measures
NameTimeMethod
morphine consumption at 24 hours after surgery.)24 hour
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Hakkı Ünlügenç

🇹🇷

Adana, Turkey

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