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Women scheduled for abdominal hysterectomy needs postoperative pain treatment, i.e. morphine. Unfortunately morphine has side-effect: nausea, vomiting, sedation and dizziness, which is unpleasant for the patients and sometimes keeps them at bed longer time than needed. We investigate in new combinations of analgesics for postoperative pain, hoping to minimize the need for morphine.
Combinations of paracetamol versus paracetamol + pregabalin versus paracetamol + pregabalin + dexamethasone is investigated. Primary outcome is 24 hours morphine usage.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| A | Placebo Comparator |
| |
| B | Experimental | Pregabalin |
|
| C | Experimental | Pregabalin + dexamethasone |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pregabalin; Dexamethasone | Drug | Comparing combinations of paracetamol + pregabalin 300 mg + dexamethasone 8 mg |
|
| Measure | Description | Time Frame |
|---|---|---|
| The total amount of morphine needed postoperatively form 0 - 4 h, and 0 - 24 h, administered by the patient controlled pain treatment. (PCA) | 0 - 24h |
| Measure | Description | Time Frame |
|---|---|---|
| Pain Score (VAS) at rest and at mobilisation. | 0 - 24h | |
| Postoperative nausea and vomiting. | 0 - 24h | |
| Sedation. |
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Inclusion Criteria:
Exclusion Criteria:
Patients who:
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| Name | Affiliation | Role |
|---|---|---|
| Ole Mathiesen, MD | Department of Anaesthesiology, Copenhagen University Hospital in Glostrup, 2600 Glostrup, Denmark | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Operations og Anæstesiologisk afd. Y, KAS Glostrup | Glostrup Municipality | Copenhagen | 2600 | Denmark | ||
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
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| ID | Term |
|---|---|
| D000069583 | Pregabalin |
| D003907 | Dexamethasone |
| ID | Term |
|---|---|
| D005680 | gamma-Aminobutyric Acid |
| D000613 | Aminobutyrates |
| D002087 | Butyrates |
| D000144 | Acids, Acyclic |
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| 0 - 24h |
| Dizziness. | 0 - 24h |
| All measurements are taken at 2, 4 and 24 h postoperatively. | 0 - 24h |
| Herning Centralsygehus |
| Herning |
| 7400 |
| Denmark |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D002264 |
| Carboxylic Acids |
| D009930 | Organic Chemicals |
| D000596 | Amino Acids |
| D000602 | Amino Acids, Peptides, and Proteins |
| D011246 | Pregnadienetriols |
| D011245 | Pregnadienes |
| D011278 | Pregnanes |
| D013256 | Steroids |
| D000072473 | Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
| D013259 | Steroids, Fluorinated |