Pilot clinical trial of gabapentin to decrease postoperative delirium in older patients.

Leung, J M; Sands, L P; Rico, M; Petersen, K L; Rowbotham, M C; Dahl, J B; Ames, C; Chou, D et al. · Neurology · 2006

rct · Level II

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Abstract

In this randomized pilot clinical trial, the authors tested the hypothesis that using gabapentin as an add-on agent in the treatment of postoperative pain reduces the occurrence of postoperative delirium. Postoperative delirium occurred in 5/12 patients (42%) who received placebo vs 0/9 patients who received gabapentin, p = 0.045. The reduction in delirium appears to be secondary to the opioid-sparing effect of gabapentin.

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