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This project aims to compare the effect of preoperative administration of melatonin and gabapentin in reducing preoperative anxiety, stress markers and postoperative pain levels in trauma patients undergoing surgery. Gabapentin has analgesic as well as sedative properties. Melatonin, a hormone has been extensively used in intensive care units and has found to improve the sleep cycle and reduce pain. It is now being explored as a preoperative medication.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Melatonin | Experimental |
| |
| Gabapentin | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Melatonin 6 MG | Drug | melatonin will be administered orally preoperatively as premedication |
| |
| Measure | Description | Time Frame |
|---|---|---|
| preoperative anxiety | evaluate the difference in the preoperative anxiety score(Numerical Rating Scale ) before and after drug administration | 30 minutes after drug administration |
| Measure | Description | Time Frame |
|---|---|---|
| inflammatory markers | o The serum cortisol and IL6 levels (biochemical markers of stress) intraoperatively and postoperatively | before and 30 minutes after drug administrartion |
| Sedation score |
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Inclusion criteria: Patients will be recruited if they satisfy the following inclusion criteria:
Exclusion criteria: The following patients will be excluded from the study:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Aiims | Recruiting | New Delhi | National Capital Territory of Delhi | 110029 | India |
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| ID | Term |
|---|---|
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D008550 | Melatonin |
| D000077206 | Gabapentin |
| ID | Term |
|---|---|
| D014363 | Tryptamines |
| D007211 | Indoles |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
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| Gabapentin |
| Drug |
melatonin will be administered orally preoperatively as premedication |
|
Sedation score based on Observer Assessment of Alertness/Sedation Scale (OAA/S) before and after drug administration
| before and 30 minutes after drug administrartion |
| post operative analgesia | o Total fentanyl consumption 24 hours post-surgery | 24 hours postoperative |
| D006571 | Heterocyclic Compounds |
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
| D000588 | Amines |
| D009930 | Organic Chemicals |
| D005680 | gamma-Aminobutyric Acid |
| D000613 | Aminobutyrates |
| D002087 | Butyrates |
| D000144 | Acids, Acyclic |
| D002264 | Carboxylic Acids |
| D003509 | Cyclohexanecarboxylic Acids |
| D000146 | Acids, Carbocyclic |
| D003510 | Cyclohexanes |
| D003516 | Cycloparaffins |
| D006840 | Hydrocarbons, Alicyclic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D000596 | Amino Acids |
| D000602 | Amino Acids, Peptides, and Proteins |