This study investigates whether oral acetaminophen, when added to standard pain management, reduces opioid use and pain after major abdominal surgery, compared to a placebo (inactive pill). Patients undergoing planned abdominal surgery under general anesthesia will be randomly assigned to receive either acetaminophen or a placebo tablet before surgery and every 6 hours afterward for 48 hours, in addition to their usual pain medication. Researchers will measure how much opioid pain medication patients need, how much pain they report, and how satisfied they are with their pain control during the first two days after surgery. The goal is to determine whether oral acetaminophen provides a genuine benefit beyond placebo in reducing opioid use while maintaining adequate pain control.
Inclusion Criteria:
Exclusion Criteria:
dryasintire@hotmail.com+905055367970
This is a triple-blind study. Participants, care providers, and outcomes assessors are all blinded to treatment allocation. Acetaminophen and placebo tablets are identical in appearance, packaging, and administration schedule, making them indistinguishable to anyone involved in clinical care or outcome assessment. Treatment allocation is generated and maintained by the randomization system (REDCap) and is known only to personnel responsible for randomization and drug dispensing, who have no role in patient care, pain assessment, or outcome evaluation. The blinded outcomes assessor independently records pain scores and opioid consumption data, with no knowledge of group assignment.
Arm 1: Acetaminophen (Arm Type: Experimental) Participants will receive oral acetaminophen 1000 mg, administered 30 minutes before surgery and every 6 hours postoperatively for 48 hours.
Participants will receive a matching placebo tablet, administered 30 minutes before surgery and every 6 hours postoperatively for 48 hours.
Analgesic Efficacy & Safety of Intravenous (IV) Acetaminophen Versus Placebo for the Treatment of Postop Pain
A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study of the Relationship Between Intraoperative Intravenous Acetaminophen and Postoperative Opioid Avoidance for Ambulatory Surgical Procedures
A Comparison of IV Versus PO Acetaminophen Postoperatively for Opioid Consumption After Cesarean Section
Pain Control After Cardiac Surgery Using Intravenous Acetaminophen
Efficacy of IV Acetaminophen for Pain Management
Intravenous Acetaminophen for Non-Narcotic Postoperative Pain Management Following Knee Arthroscopy
Preoperative IV Versus Oral Acetaminophen
Intravenous Acetaminophen to Reduce Post-operative Opioid Consumption