Page last updated: 2024-10-30

lorazepam and Acute Post-operative Pain

lorazepam has been researched along with Acute Post-operative Pain in 10 studies

Lorazepam: A benzodiazepine used as an anti-anxiety agent with few side effects. It also has hypnotic, anticonvulsant, and considerable sedative properties and has been proposed as a preanesthetic agent.

Research Excerpts

ExcerptRelevanceReference
"To estimate whether lorazepam can decrease the incidence of postoperative urinary retention after ambulatory gynecologic surgeries."9.10A randomized clinical trial of lorazepam for the reduction of postoperative urinary retention. ( Hershberger, JM; Milad, MP, 2003)
"Intrathecal morphine can produce hypothermia in animals."7.73Hypothermia after cesarean delivery and its reversal with lorazepam. ( Hess, PE; Snowman, CE; Wang, J, 2005)
"To estimate whether lorazepam can decrease the incidence of postoperative urinary retention after ambulatory gynecologic surgeries."5.10A randomized clinical trial of lorazepam for the reduction of postoperative urinary retention. ( Hershberger, JM; Milad, MP, 2003)
"In 60 patients undergoing a curettage in thiopentone induced inhalation anaesthesia with enflurane and N2O/O2 = 2:1, the effects of oral premedication (2 h before anaesthesia) with 30 mg morphine (MST 30) (n = 21), 1 mg lormetazepam (Noctamid) (n = 19) and placebo (n = 21) on psychological (anxiety, depression and asthenia), physiological (blood pressure, heart and respiratory rate) and pain parameters (visual analogue scale, analgesic consumption) were investigated."5.06[Effect and side effects of oral morphine, lormetazepam and placebos as premedication]. ( Hartung, M; Hettenbach, A; Krug, C; Tolksdorf, W, 1987)
"Intrathecal morphine can produce hypothermia in animals."3.73Hypothermia after cesarean delivery and its reversal with lorazepam. ( Hess, PE; Snowman, CE; Wang, J, 2005)

Research

Studies (10)

TimeframeStudies, this research(%)All Research%
pre-19904 (40.00)18.7374
1990's1 (10.00)18.2507
2000's4 (40.00)29.6817
2010's1 (10.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Fauman, KR1
Durgham, R1
Duran, CI1
Vecchiotti, MA1
Scott, AR1
Hershberger, JM1
Milad, MP1
Hess, PE1
Snowman, CE1
Wang, J1
Allen, RH1
Kumar, D1
Fitzmaurice, G1
Lifford, KL1
Goldberg, AB1
McNulty, SE1
Gratch, D1
Costello, D1
Heropoulos, M1
Kim, JY1
Bellan, L1
Gooi, A1
Rehsia, S1
Camu, F1
Verschraegen, R1
Bogaert, M1
Rosseel, MT1
Rolly, G1
Tolksdorf, W1
Krug, C1
Hartung, M1
Hettenbach, A1
Aun, C1
Thomas, D1
St John-Jones, L1
Colvin, MP1
Savege, TM1
Lewis, CT1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
The Effect Of Forced Air Warming Used For Different Body Parts During Caseraen Section On Maternal Hypothermia, Shivering, Thermal Comfort, Apgar Score And Breastfeeding: Randomized Controlled Trial[NCT04667000]35 participants (Anticipated)Interventional2021-05-01Active, not recruiting
An Evaluation of Hydrocodone/Acetaminophen for Pain Control in First Trimester Surgical Abortion[NCT01330459]Phase 4121 participants (Actual)Interventional2011-02-28Completed
An Evaluation of the Paracervical Block for Pain Control in First Trimester Surgical Abortion[NCT01094366]Phase 4121 participants (Actual)Interventional2010-04-30Completed
Auricular Acupuncture as Adjunct for Pain Management During First Trimester Uterine Aspiration.[NCT03391986]153 participants (Actual)Interventional2017-09-09Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Need for Additional Intraoperative and/or Postoperative Pain Medication

To assess need for additional intraoperative and/or postoperative pain medication (NCT01330459)
Timeframe: 30 minutes after completion of the procedure (which started 45-90 minutes after study drug administration)

InterventionParticipants (Count of Participants)
Hydrocodone/Acetaminophen0
Placebo0

Patient Perception of Pain

To determine whether HC/APAP, given in addition to a standard regimen of ibuprofen, lorazepam, and PCB, affects patient pain perception at the time of uterine aspiration, as measured by distance (mm) from the left of the 100 mm visual analog scale (VAS). The number 0 indicates no pain, and 100 indicates worst pain imaginable. (NCT01330459)
Timeframe: At time of uterine aspiration (baseline)

Interventionmm (Mean)
Hydrocodone/Acetaminophen65.7
Placebo63.1

Patient Perception of Pain During Cervical Dilation

Distance (mm) from the left of the 100 mm VAS scale (VAS anchors: 0 = none, 100 mm = worst imaginable) recorded after cervical dilation (NCT01330459)
Timeframe: During procedure (approximately 45-90 min after hydrocodone/acetaminophen or placebo, and within 5 minutes of procedure starting)

Interventionmm (Mean)
Hydrocodone/Acetaminophen47.2
Placebo43.9

Postoperative Nausea

To assess whether HC/APAP is associated with nausea, measured on the 100 mm VAS, recorded 30 minutes postoperatively. VAS anchors: 0 indicates no pain, and 100 indicates worst pain imaginable. (NCT01330459)
Timeframe: 30 minutes after completion of the procedure (which started 45-90 minutes after study drug administration)

Interventionmm (Mean)
Hydrocodone/Acetaminophen19.4
Placebo11.4

Satisfaction With Pain Control

Distance (mm) from the left of the 100 mm VAS (VAS anchors: 0 = unsatisfied, 100 mm = very satisfied) recorded 30 minutes after completion of the procedure. (NCT01330459)
Timeframe: 30 minutes after completion of the procedure (which started 45-90 minutes after study drug administration)

Interventionmm (Mean)
Hydrocodone/Acetaminophen74.8
Placebo67.3

Change in Visual Analog Scale for Pain (VAS Pain) Score - Placebo Versus Routine Care

Measure effectiveness of placebo as an adjunct to ibuprofen and paracervical block for pain control during uterine aspiration by comparing the maximum pain score; as measured by VAS between women randomized to receive placebo adhesives and routine care controls - using a 100 mm visual analog scale (VAS-P) (anchors: 0 mm = no pain, 100 mm = worst pain in my life). (NCT03391986)
Timeframe: prior to the procedure (baseline), at the completion of the procedure (approximately 10 minutes later)

Interventionscore on a scale (Mean)
Placebo Adhesives70.0
Routine Care71.0

Percentage of Patients Rated Good or Very Good on Satisfaction Survey in Overall Care - Acupuncture Versus Routine Care

Using a satisfaction survey (investigator-developed, 6 questions, each question is graded on a scale of 1-5, 1 being very poor and 5 being very good) to measure effectiveness of auricular acupuncture for improving satisfaction. (NCT03391986)
Timeframe: at the completion of the procedure (approximately 5-10 minutes)

Interventionpercentage of participants (Number)
Pyonex Needles94
Routine Care76

Visual Analog Scale for Pain (VAS Pain) Score - Acupuncture Versus Routine Care

Measure effectiveness of auricular acupuncture as an adjunct to ibuprofen and paracervical block for pain control during first trimester uterine aspiration by comparing the maximum pain score; as measured by VAS between women randomized to receive auricular acupuncture and routine care controls - using a 100 mm visual analog scale (VAS-P) (anchors: 0 mm = no pain, 100 mm = worst pain in my life). The VAS has no sub-scales. (NCT03391986)
Timeframe: at the completion of the procedure (approximately 10 minutes later)

Interventionscore on a scale (Mean)
Pyonex Needles39.5
Routine Care71.0

Trials

6 trials available for lorazepam and Acute Post-operative Pain

ArticleYear
A randomized clinical trial of lorazepam for the reduction of postoperative urinary retention.
    Obstetrics and gynecology, 2003, Volume: 102, Issue:2

    Topics: Adult; Aged; Anti-Anxiety Agents; Female; Gynecologic Surgical Procedures; Humans; Lorazepam; Middle

2003
The effect of midazolam and lorazepam on postoperative recovery after cardiac surgery.
    Anesthesia and analgesia, 1995, Volume: 81, Issue:2

    Topics: Age Factors; Aged; Anesthesia Recovery Period; Awareness; Coronary Artery Bypass; Female; Humans; In

1995
The Misericordia Health Centre cataract comfort study.
    Canadian journal of ophthalmology. Journal canadien d'ophtalmologie, 2002, Volume: 37, Issue:3

    Topics: Administration, Oral; Adult; Aged; Aged, 80 and over; Anesthesia, Local; Anxiety; Cataract Extractio

2002
Clinical use of meptazinol.
    Acta anaesthesiologica Belgica, 1976, Volume: 27, Issue:3

    Topics: Adult; Aged; Analgesics; Anesthesia, General; Azepines; Blood Pressure; Carbon Dioxide; Clinical Tri

1976
[Effect and side effects of oral morphine, lormetazepam and placebos as premedication].
    Anasthesie, Intensivtherapie, Notfallmedizin, 1987, Volume: 22, Issue:3

    Topics: Administration, Oral; Anti-Anxiety Agents; Anxiety; Benzodiazepines; Clinical Trials as Topic; Depre

1987
Intrathecal morphine in cardiac surgery.
    European journal of anaesthesiology, 1985, Volume: 2, Issue:4

    Topics: Adolescent; Adult; Aged; Anesthesia; Cardiac Surgical Procedures; Cardiopulmonary Bypass; Female; Fe

1985

Other Studies

4 other studies available for lorazepam and Acute Post-operative Pain

ArticleYear
Sedation after airway reconstruction in children: A protocol to reduce withdrawal and length of stay.
    The Laryngoscope, 2015, Volume: 125, Issue:9

    Topics: Analgesics, Opioid; Child, Preschool; Conscious Sedation; Drug Therapy, Combination; Female; Follow-

2015
Hypothermia after cesarean delivery and its reversal with lorazepam.
    International journal of obstetric anesthesia, 2005, Volume: 14, Issue:4

    Topics: Adult; Analgesics, Opioid; Anesthesia, Obstetrical; Anesthesia, Spinal; Anesthetics, Local; Bupivaca

2005
Pain management of first-trimester surgical abortion: effects of selection of local anesthesia with and without lorazepam or intravenous sedation.
    Contraception, 2006, Volume: 74, Issue:5

    Topics: Abortion, Induced; Adult; Analgesia; Anesthetics; Female; Fentanyl; Humans; Ibuprofen; Lorazepam; Mi

2006
Pain management of first-trimester surgical abortion: effects of selection of local anesthesia with and without lorazepam or intravenous sedation.
    Contraception, 2006, Volume: 74, Issue:5

    Topics: Abortion, Induced; Adult; Analgesia; Anesthetics; Female; Fentanyl; Humans; Ibuprofen; Lorazepam; Mi

2006
Pain management of first-trimester surgical abortion: effects of selection of local anesthesia with and without lorazepam or intravenous sedation.
    Contraception, 2006, Volume: 74, Issue:5

    Topics: Abortion, Induced; Adult; Analgesia; Anesthetics; Female; Fentanyl; Humans; Ibuprofen; Lorazepam; Mi

2006
Pain management of first-trimester surgical abortion: effects of selection of local anesthesia with and without lorazepam or intravenous sedation.
    Contraception, 2006, Volume: 74, Issue:5

    Topics: Abortion, Induced; Adult; Analgesia; Anesthetics; Female; Fentanyl; Humans; Ibuprofen; Lorazepam; Mi

2006
Pain management of first-trimester surgical abortion: effects of selection of local anesthesia with and without lorazepam or intravenous sedation.
    Contraception, 2006, Volume: 74, Issue:5

    Topics: Abortion, Induced; Adult; Analgesia; Anesthetics; Female; Fentanyl; Humans; Ibuprofen; Lorazepam; Mi

2006
Pain management of first-trimester surgical abortion: effects of selection of local anesthesia with and without lorazepam or intravenous sedation.
    Contraception, 2006, Volume: 74, Issue:5

    Topics: Abortion, Induced; Adult; Analgesia; Anesthetics; Female; Fentanyl; Humans; Ibuprofen; Lorazepam; Mi

2006
Pain management of first-trimester surgical abortion: effects of selection of local anesthesia with and without lorazepam or intravenous sedation.
    Contraception, 2006, Volume: 74, Issue:5

    Topics: Abortion, Induced; Adult; Analgesia; Anesthetics; Female; Fentanyl; Humans; Ibuprofen; Lorazepam; Mi

2006
Pain management of first-trimester surgical abortion: effects of selection of local anesthesia with and without lorazepam or intravenous sedation.
    Contraception, 2006, Volume: 74, Issue:5

    Topics: Abortion, Induced; Adult; Analgesia; Anesthetics; Female; Fentanyl; Humans; Ibuprofen; Lorazepam; Mi

2006
Pain management of first-trimester surgical abortion: effects of selection of local anesthesia with and without lorazepam or intravenous sedation.
    Contraception, 2006, Volume: 74, Issue:5

    Topics: Abortion, Induced; Adult; Analgesia; Anesthetics; Female; Fentanyl; Humans; Ibuprofen; Lorazepam; Mi

2006
Evaluation of drug-induced sedation in intubated patients. A new measuring scale.
    Acta anaesthesiologica Belgica, 1978, Volume: 29, Issue:2

    Topics: Adult; Aged; Anti-Anxiety Agents; Consciousness; Drug Evaluation; Female; Humans; Intubation, Intrat

1978