Oral Gabapentin versus Pregabalin for Postoperative Pain Relief in Elective Cesarean Section Patients under Spinal Anesthesia | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 29, Volume 81, Issue 1, October 2020, Page 1330-1337 PDF (571.3 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2020.113393 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Neveen Mahmoud Alaasar; Dalal El-sayed Mohammed soud; Asmaa Mohammed Galal El-Deen; Ahmad Ibraheem Ahmad Abd Elfattah* | ||||
| Department of Anesthesia and Surgical Intensive Care, Faculty of Medicine, Zagazig University | ||||
| Abstract | ||||
| Background: Pain after Cesarean delivery is the main postoperative complain in parturients, pregabalin and gabapentin have been shown to decrease acute postoperative pain in parturient. Objective: The aim of the study was to compare gabapentin and pregabalin as oral premedication in patients for elective cesarean section under spinal anesthesia for postoperative pain relief and the need to rescue analgesia. Methods: This study was carried out at Obstetric Operating Rooms, Zagazig University Surgical Hospitals. The study included 54 consenting women aging 20–40 yrs old with uncomplicated pregnancies that were scheduled to undergo elective Cesarean section delivery under spinal anesthesia. They were randomly allocated into three equal groups. Group (P) received 300 mg pregabalin, group (G) received 900 mg gabapentin, and control group (C). The study medication given orally one hour before the anticipated time of the surgical incision, and data measured included visual analogue scale (VAS), the total doses of analgesia, the incidence of post-operative nausea and vomiting (PONV) and the level of sedation. Results: The VAS was comparatively low in patients of group P as compared to G and C groups (P value < 0.05). Total analgesic requirement of pethidine in first 24 h was significantly lower in groups P as compared to groups G & C (P value < 0.001). We found that there was statistically significant increase in the sedation scores of the patients in P group as compared to G & C groups. Conclusion: Pregabalin 300 mg was more effective than gabapentin300 mg in reducing post Cesarean section pain, opioid consumption, nausea, and vomiting. | ||||
| Keywords | ||||
| Cesarean section; Postoperative pain; Pregabalin; Gabapentin | ||||
|
Statistics Article View: 367 PDF Download: 606 |
||||
