Kanazi GE, El-Khatib MF, Yazbeck-Karam VG, et al. Effect of vitamin C on morphine use after laparoscopic cholecystectomy: a randomized controlled trial. Can J Anaesth 2012 Mar 9. [Epub ahead of print]
PMID: 22402954
DOI: 10.1007/s12630-012-9692-x
http://www.springerlink.com/content/nkm463hh92014x2n/
http://www.springerlink.com/content/nkm463hh92014x2n/fulltext.html
http://www.springerlink.com/content/nkm463hh92014x2n/fulltext.pdf
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Can J Anaesth. 2012 Mar 9. [Epub ahead of print]
Effect of vitamin C on morphine use after laparoscopic cholecystectomy: a randomized controlled trial.
Kanazi GE, El-Khatib MF, Yazbeck-Karam VG, Hanna JE, Masri B, Aouad MT.
Source
Department of Anesthesiology, American University of Beirut Medical Center, Beirut, Lebanon.
Abstract
PURPOSE:
We designed a randomized double-blind placebo-controlled trial to assess the role of a single prophylactic dose of vitamin C (2 g) po in reducing the consumption of opioids postoperatively in patients undergoing laparoscopic cholecystectomy.
METHODS:
Eighty adult patients were allocated to receive 2 g vitamin C po or placebo approximately one hour prior to induction of anesthesia. Following laparoscopic cholecystectomy, patients received morphine patient-controlled analgesia for 24 hr. The following data were assessed postoperatively in the postanesthesia care unit at two, four, six, 12, and 24 hr: morphine consumption, verbal numerical rating scale scores for incisional pain and nausea/vomiting, and pruritus and sedation scores. The primary outcome measure was 24-hr morphine consumption. Patient satisfaction was assessed before hospital discharge.
RESULTS:
Morphine consumption was significantly lower in the vitamin C group vs the placebo group [16.2 (10.7) and 22.8 (13.8) mg, respectively; difference = 6.6 mg; 95% confidence interval, 1.1 to 12.1 mg; P = 0.02]. There was no difference in pain scores or side effects between the two groups. Satisfaction scores were similar in both groups.
CONCLUSION:
Our study showed that supplementation with vitamin C (2 g) po decreased morphine consumption in the postoperative period in patients undergoing laparoscopic cholecystectomy.
(ClinicalTrials.gov number, NCT01322061).
PMID: 22402954