The impact of a pulmonary recruitment maneuver to reduce post-laparoscopic shoulder pain
试验速览
- 阶段
- 未知
- 状态
- 已完成
- 发起方
- 入组人数
- 84
研究概览
简要总结
Post-laparoscopic shoulder pain (PLSP) is effectively reduced by a pulmonary recruitment maneuver (PRM). The goal of this study is to assess the efficacy of a PRM using maximal inspiratory pressure of 30 cm H2O, which is lower than previously studied pressure for reducing PLSP. The primary outcome was the intensity of the shoulder pain using the visual analogue scale (VAS). The VAS score of shoulder pain (median [IQR]) was significantly lower in the PRM group than in the control group at 24 hours (0 [0-0] vs 1.5 [0-4.0], p < .001) and 48 hours (0 [0-0] vs 1.0 [0-2.0], p < .001) after surgery. Other variables, including surgical pain score and vital signs, were similar between the two groups. The PRM with 30 cm H2O can be a simple method to reduce PLSP. Therefore, it would be helpful to perform the PRM with 30 cm H2O routinely.
研究设计
- 研究类型
- Interventional Study
入排标准
- 年龄范围
- 19(Year) 至 65(Year)（—）
- 性别
- Female
入选标准
- •Women scheduled for laparoscopic benign gynecologic surgery age between 19 and 65 years, American Society of Anesthesiologists physical status (ASAPS) classification 1,2.
排除标准
- •American Society of Anesthesiologists physical status (ASAPS) classification 3 or higher, inability to accurately express their pain, any concomitant diseases requiring upper abdominal surgery such as cholecystectomy or adhesiolysis, past history of shoulder or lung surgery, chronic shoulder problems or epigastric pain, and lung diseases such as emphysema or pneumothorax.