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Can gabapentin help reduce postoperative pain in arthroscopic rotator cuff repair? A prospective, randomized, double-blind study.
Arthroscopy. 2010 Sep; 26(9 Suppl):S106-11.A

Abstract

PURPOSE

The aim of the study was to determine the effect of low-dose gabapentin on postoperative pain management in patients undergoing arthroscopic rotator cuff repair.

METHODS

This randomized, double-blinded, placebo-controlled study included 46 patients. The patients were divided into 2 groups according to the drug administered 2 hours before surgery, either 300 mg of gabapentin or placebo. The primary outcome measure was the visual analog scale (VAS) score at 2, 6, 12, and 24 hours postoperatively. The secondary outcome measures were fentanyl consumption and side effects during the first 2 hours in the postanesthesia care unit and then at 6 and 24 hours postoperatively. The patients were evaluated for side effects including nausea, vomiting, respiratory depression, dizziness, drowsiness, voiding difficulty, and pruritus.

RESULTS

The VAS scores at 2, 6, and 12 hours postoperatively were significantly lower in the gabapentin group than in the placebo group (P = .023, P = .019, and P = .022, respectively). The consumption of fentanyl, over a period of 24 hours, was not different in the comparisons between the groups (P = .686). The incidence of side effects was similar in the 2 groups.

CONCLUSIONS

A single dose of 300 mg of gabapentin reduced the VAS score during the first 24 hours postoperatively in patients undergoing shoulder arthroscopic rotator cuff repair, without significant side effects when compared with placebo. However, the fentanyl consumption did not differ between the gabapentin and placebo groups.

LEVEL OF EVIDENCE

Level I, randomized controlled trial.

Authors+Show Affiliations

Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University, School of Medicine, Seoul, South Korea.No affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

20810085

Citation

Bang, Si Ra, et al. "Can Gabapentin Help Reduce Postoperative Pain in Arthroscopic Rotator Cuff Repair? a Prospective, Randomized, Double-blind Study." Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association, vol. 26, no. 9 Suppl, 2010, pp. S106-11.
Bang SR, Yu SK, Kim TH. Can gabapentin help reduce postoperative pain in arthroscopic rotator cuff repair? A prospective, randomized, double-blind study. Arthroscopy. 2010;26(9 Suppl):S106-11.
Bang, S. R., Yu, S. K., & Kim, T. H. (2010). Can gabapentin help reduce postoperative pain in arthroscopic rotator cuff repair? A prospective, randomized, double-blind study. Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association, 26(9 Suppl), S106-11. https://doi.org/10.1016/j.arthro.2009.11.010
Bang SR, Yu SK, Kim TH. Can Gabapentin Help Reduce Postoperative Pain in Arthroscopic Rotator Cuff Repair? a Prospective, Randomized, Double-blind Study. Arthroscopy. 2010;26(9 Suppl):S106-11. PubMed PMID: 20810085.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Can gabapentin help reduce postoperative pain in arthroscopic rotator cuff repair? A prospective, randomized, double-blind study. AU - Bang,Si Ra, AU - Yu,Su Kyung, AU - Kim,Tae Hyeong, Y1 - 2010/05/05/ PY - 2009/05/18/received PY - 2009/11/12/revised PY - 2009/11/12/accepted PY - 2010/9/3/entrez PY - 2010/9/10/pubmed PY - 2011/2/4/medline SP - S106 EP - 11 JF - Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association JO - Arthroscopy VL - 26 IS - 9 Suppl N2 - PURPOSE: The aim of the study was to determine the effect of low-dose gabapentin on postoperative pain management in patients undergoing arthroscopic rotator cuff repair. METHODS: This randomized, double-blinded, placebo-controlled study included 46 patients. The patients were divided into 2 groups according to the drug administered 2 hours before surgery, either 300 mg of gabapentin or placebo. The primary outcome measure was the visual analog scale (VAS) score at 2, 6, 12, and 24 hours postoperatively. The secondary outcome measures were fentanyl consumption and side effects during the first 2 hours in the postanesthesia care unit and then at 6 and 24 hours postoperatively. The patients were evaluated for side effects including nausea, vomiting, respiratory depression, dizziness, drowsiness, voiding difficulty, and pruritus. RESULTS: The VAS scores at 2, 6, and 12 hours postoperatively were significantly lower in the gabapentin group than in the placebo group (P = .023, P = .019, and P = .022, respectively). The consumption of fentanyl, over a period of 24 hours, was not different in the comparisons between the groups (P = .686). The incidence of side effects was similar in the 2 groups. CONCLUSIONS: A single dose of 300 mg of gabapentin reduced the VAS score during the first 24 hours postoperatively in patients undergoing shoulder arthroscopic rotator cuff repair, without significant side effects when compared with placebo. However, the fentanyl consumption did not differ between the gabapentin and placebo groups. LEVEL OF EVIDENCE: Level I, randomized controlled trial. SN - 1526-3231 UR - https://www.unboundmedicine.com/medline/citation/20810085/Can_gabapentin_help_reduce_postoperative_pain_in_arthroscopic_rotator_cuff_repair_A_prospective_randomized_double_blind_study_ DB - PRIME DP - Unbound Medicine ER -