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Korean Journal of Anesthesiology 2004;47(4):527-531.
DOI: https://doi.org/10.4097/kjae.2004.47.4.527   
Effects of Preemptive Gabapentin on Postoperative Pain after Mastectomy.
Soon Im Kim, Dae Yong Park, Si Young Ok, Sun Chong Kim
Department of Anesthesiology and Pain Medicine, Soonchunhyang University Hospital, Seoul, Korea. soonnim@hosp.sch.ac.kr
Abstract
BACKGROUND
The aim of the present study was to investigate the effect of preemptive gabapentin on postoperative pain and opioid consumption in patients undergoing mastectomy.
METHODS
In a randomized, double-blind study, 41 patients received a single dose of oral gabapentin 900 mg with routine premedicantion (GABA group, n = 21) or only routine premedication without gabapentin (control group, n = 20) 1 h before surgery. Patients received intravenous patient-controlled analgesia using fentanyl for postoperative analgesia. VAS scores for pain at rest and during movement, sedation scores, side effects, and fentanyl consumptions were assessed at 6 and 24 h after surgery.
RESULTS
No significant differences were found between the two groups in terms of pain scores, side effects, or fentanyl consumptions for 24 h postoperatively. However, patients in the GABA group were more sedated at 6 h postoperatively than patients in the control group (P < 0.05).
CONCLUSIONS
The preemptive administration of oral gabapentin at 900 mg did not reduce postoperative pain or fentanyl consumption after mastectomy during the 24 h period following surgery.
Key Words: gabapentin; postoperative pain


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