Anesthetic drugs & techniques

Preoperative Pregabalin and the Cp50 for Skin Incision During Target-Controlled Propofol Infusion: A Randomized, Placebo-Controlled, Double-Blind Clinical Trial

Anesth AnalgPublished Randomised controlled trial

Authors' conclusion

This study demonstrated that pretreatment with 300 mg pregabalin significantly reduced the Cp50 value of propofol by 44%, as calculated using the delta method.

Study context

Population
Female patients undergoing breast surgery with propofol target-controlled infusion (TCI) (Schnider model) as sole anesthetic, without opioids or other analgesics
Participants
80 patients
Comparison
Pregabalin 300 mg vs placebo 2 h before induction
Primary endpoint
Propofol Cp50 for motor response to standardized skin incision (logistic regression, delta method)
Methodological detailsplacebo-controlled, double-blind
  • Placebo-controlled
  • Double-blind

Primary result

As reported in the abstract

Propofol Cp50

Secondary outcomes

Opioid consumption and pain in the recovery area

Significantly decreased opioid consumption and pain levels with pregabalin vs placebo

Original publication

Preoperative Pregabalin and the Cp50 for Skin Incision During Target-Controlled Propofol Infusion: A Randomized, Placebo-Controlled, Double-Blind Clinical Trial. Anesth Analg. Published 29 October 2025. doi:10.1213/ane.0000000000007824

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