Ação da pregabalina como adjuvante no pré operatório em pacientes com síndrome do túnel do carpo

Fabio Eto; Yussef Ali Abdouni; Thiago Broggin Dutra Rodrigues; Victor Elzio Gasperoni Matias

doi:10.1590/SciELOPreprints.6641

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Fabio Eto Irmandade da Santa Casa de Misericórdia de São Paulo
Yussef Ali Abdouni Irmandade da Santa Casa de Misericórdia de São Paulo
Thiago Broggin Dutra Rodrigues Irmandade da Santa Casa de Misericórdia de São Paulo https://orcid.org/0009-0002-5476-3436
Victor Elzio Gasperoni Matias Santa Casa de São Paulo https://orcid.org/0009-0004-7274-4428

DOI:

https://doi.org/10.1590/SciELOPreprints.6641

Keywords:

Carpal Tunnel Syndrome, Surgical Procedures, Operative, Pregabalin, Pain

Abstract

OBJECTIVE: To evaluate the pregabalins adjuvant effect in patients with carpal tunnel syndrome (CTS) surgically treated, analyzing postoperative pain and the incidence of complex regional pain syndrome (CRPS). METHODS: Outpatient surgical candidates with CTS were selected and followed for 12 months, divided into three groups. The Control Group received a placebo, the Pregabalin 75mg Group received a daily dose, and the Pregabalin 150mg Group received a daily dose of the medication. Patient progress was evaluated using the visual analog scale (VAS) for pain and the DN4 neuropathic pain score before surgery, one month and three months after. RESULTS: The administration of pregabalin to surgical patients with CTS did not demonstrate significant differences in immediate postoperative pain relief. Additionally, there were no statistically significant variations in the incidence of complications, such as CRPS, among the groups. CONCLUSION: This study did not show a significant impact of pregabalin on postoperative pain relief or the reduction of CRPS incidence in patients undergoing surgery for CTS. These results suggest that pregabalin might not be an effective adjuvant in these surgical situations.