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Effect of pregabalin and dexamethasone addition to multimodal analgesia on postoperative analgesia following rhinoplasty surgery.
Aesthetic Plast Surg. 2013 Dec; 37(6):1100-6.AP

Abstract

BACKGROUND

We investigated the effect of a combination of pregabalin and dexamethasone, when used as part of a multimodal analgesic regimen, on pain control after rhinoplasty operations.

METHODS

Sixty patients were enrolled in this study. They were randomly assigned into three groups: Group C (placebo + placebo), Group P (pregabalin + placebo), and Group PD (pregabalin + dexamethasone). Patients received either pregabalin 300 mg orally 1 h before surgery, dexamethasone 8 mg intravenously during induction, or placebo according to their allocation. Postoperative pain was treated with intravenous patient-controlled analgesia (tramadol, 20-mg bolus dose, 45-min lockout time). The numeric rating scale (NRS), side effects, and consumption of tramadol, pethidine, and ondansetron were assessed.

RESULTS

The median NRS scores at 0, 1, and 6 h after surgery were significantly higher in Group C than in Group PD (p < 0.001 for all). The 24-h consumption of tramadol and pethidine was significantly reduced in Groups P and PD compared to Group C (p < 0.01 and p < 0.01). The total tramadol consumption was decreased by 54.5 % in Group P and 81.9 % in Group PD compared to Group C (p < 0.001 for both). The incidence of nausea was higher in Group C than in Groups P and PD between the postoperative 0-2 and 0-24-h periods (p < 0.05 for both). The frequency of blurred vision was significantly higher in Groups P and PD than in Group C within the 0-24-h period (p < 0.05 for both).

CONCLUSION

We found that the addition of a single dose of pregabalin and dexamethasone to multimodal analgesia in rhinoplasty surgeries provided efficient analgesia and thus decreased opioid consumption.

LEVEL OF EVIDENCE I

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Authors+Show Affiliations

Department of Anesthesiology and Reanimation, Abant Izzet Baysal University Medical School, Golkoy, 14280, Bolu, Turkey, dr_demirhan1@hotmail.com.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

24057811

Citation

Demirhan, Abdullah, et al. "Effect of Pregabalin and Dexamethasone Addition to Multimodal Analgesia On Postoperative Analgesia Following Rhinoplasty Surgery." Aesthetic Plastic Surgery, vol. 37, no. 6, 2013, pp. 1100-6.
Demirhan A, Tekelioglu UY, Akkaya A, et al. Effect of pregabalin and dexamethasone addition to multimodal analgesia on postoperative analgesia following rhinoplasty surgery. Aesthetic Plast Surg. 2013;37(6):1100-6.
Demirhan, A., Tekelioglu, U. Y., Akkaya, A., Bilgi, M., Apuhan, T., Karabekmez, F. E., Bayir, H., Kurt, A. D., & Kocoglu, H. (2013). Effect of pregabalin and dexamethasone addition to multimodal analgesia on postoperative analgesia following rhinoplasty surgery. Aesthetic Plastic Surgery, 37(6), 1100-6. https://doi.org/10.1007/s00266-013-0207-0
Demirhan A, et al. Effect of Pregabalin and Dexamethasone Addition to Multimodal Analgesia On Postoperative Analgesia Following Rhinoplasty Surgery. Aesthetic Plast Surg. 2013;37(6):1100-6. PubMed PMID: 24057811.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effect of pregabalin and dexamethasone addition to multimodal analgesia on postoperative analgesia following rhinoplasty surgery. AU - Demirhan,Abdullah, AU - Tekelioglu,Umit Yasar, AU - Akkaya,Akcan, AU - Bilgi,Murat, AU - Apuhan,Tayfun, AU - Karabekmez,Furkan Erol, AU - Bayir,Hakan, AU - Kurt,Adem Deniz, AU - Kocoglu,Hasan, Y1 - 2013/09/21/ PY - 2013/04/22/received PY - 2013/08/03/accepted PY - 2013/9/24/entrez PY - 2013/9/24/pubmed PY - 2014/7/17/medline SP - 1100 EP - 6 JF - Aesthetic plastic surgery JO - Aesthetic Plast Surg VL - 37 IS - 6 N2 - BACKGROUND: We investigated the effect of a combination of pregabalin and dexamethasone, when used as part of a multimodal analgesic regimen, on pain control after rhinoplasty operations. METHODS: Sixty patients were enrolled in this study. They were randomly assigned into three groups: Group C (placebo + placebo), Group P (pregabalin + placebo), and Group PD (pregabalin + dexamethasone). Patients received either pregabalin 300 mg orally 1 h before surgery, dexamethasone 8 mg intravenously during induction, or placebo according to their allocation. Postoperative pain was treated with intravenous patient-controlled analgesia (tramadol, 20-mg bolus dose, 45-min lockout time). The numeric rating scale (NRS), side effects, and consumption of tramadol, pethidine, and ondansetron were assessed. RESULTS: The median NRS scores at 0, 1, and 6 h after surgery were significantly higher in Group C than in Group PD (p < 0.001 for all). The 24-h consumption of tramadol and pethidine was significantly reduced in Groups P and PD compared to Group C (p < 0.01 and p < 0.01). The total tramadol consumption was decreased by 54.5 % in Group P and 81.9 % in Group PD compared to Group C (p < 0.001 for both). The incidence of nausea was higher in Group C than in Groups P and PD between the postoperative 0-2 and 0-24-h periods (p < 0.05 for both). The frequency of blurred vision was significantly higher in Groups P and PD than in Group C within the 0-24-h period (p < 0.05 for both). CONCLUSION: We found that the addition of a single dose of pregabalin and dexamethasone to multimodal analgesia in rhinoplasty surgeries provided efficient analgesia and thus decreased opioid consumption. LEVEL OF EVIDENCE I: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 . SN - 1432-5241 UR - https://www.unboundmedicine.com/medline/citation/24057811/Effect_of_pregabalin_and_dexamethasone_addition_to_multimodal_analgesia_on_postoperative_analgesia_following_rhinoplasty_surgery_ L2 - https://dx.doi.org/10.1007/s00266-013-0207-0 DB - PRIME DP - Unbound Medicine ER -