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investigators assume that administration of preoperative melatonin will reduce the required dose of propofol in participants undergoing loco-regional chronic subdural hematoma evacuation, it may as well provide better postoperative analgesia and decrease the incidence of delirium.
A number of studies showed that premedication with melatonin was associated with sedation without impairment of cognitive and psychomotor skills or prolonging recovery. Some studies demonstrated that melatonin decreases the amount of propofol required to produce an adequate depth of hypnosis at induction time
The effects of the oral administration of melatonin on the dose of propofol sedation in participants undergoing loco-regional chronic subdural hematoma evacuation have not been documented before.
The present study will be conducted to detect the efficacy of oral administration of melatonin on the reduction of the sedative dose of propofol in participants undergoing loco-regional chronic subdural hematoma evacuation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Placebo (Group P) | Placebo Comparator | Group P: 20 patients will receive a placebo tablet preoperatively. |
|
| Melatonin (Group M) | Active Comparator | Group M: 20 patients will receive an oral melatonin tablet 10 mg preoperatively. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Placebo (Group P) | Drug | Group P: 20 patients will receive a placebo tablet preoperatively. |
|
| Measure | Description | Time Frame |
|---|---|---|
| To compare propofol consumption among both groups. | propofol consumption per mg among both groups. | 24 hours Postoperative |
| Measure | Description | Time Frame |
|---|---|---|
| Vital Signs | Blood pressure (mmHg) . | 24 hours Postoperative |
| Number of intraoperative patients movements. | Intraoperative patients movements |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ahmed Abdalla Mohamed, M.D | Cairo University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cairo University | Cairo | 11451 | Egypt |
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(N-acetyl-5-methoxytryptamine) is a neurohormone secreted by the pineal gland. It is primarily responsible for the sleep awake cycle as its level decreases in the morning and increases by night; owing to reduced light intensity, leading to circadian rhythm. It provides circadian and seasonal timing through activation of G protein-coupled receptors (GPCRs) in target tissues. Melatonin exerts its hypnotic effects through the activation of the MT1 and MT2 melatonin receptors
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Randomization will be done via computer generated numbers and concealed by serially numbered, opaque and sealed envelopes. The details of series will be unknown to the investigators and the group assignment will be kept in a set of concealed envelopes each bearing only the case number on the outside. Prior to the start of the study, the appropriately numbered envelopes will be opened by the nurse, the card will determine the assigned intervention for each patient, which will be prepared by a clinical pharmacist with no other role in the study
| Melatonin (Group M) | Drug | Group M: 20 patients will receive an oral melatonin tablet 10 mg preoperatively. |
|
|
| 24 hours Postoperative |
| Anesthesia recovery times /Hour in both groups. | Anesthesia recovery times in both groups | 24 hours Postoperative |
| VAS score for pain in each group | VAS score for pain in each group | 24 hours Postoperative |
| Time to first rescue analgesic in both groups. | Time to first rescue analgesic in both groups. | 24 hours Postoperative |
| ID | Term |
|---|---|
| D008550 | Melatonin |
| ID | Term |
|---|---|
| D014363 | Tryptamines |
| D007211 | Indoles |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
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