Risk Factors for Postoperative Shoulder-tip Pain After Laparoscopic Surgery Undergoing General Anesthesia
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 1,311
- 试验地点
- 1
- 主要终点
- sex
研究概览
简要总结
To find out the risk factors for postoperative shoulder-tip pain after laparoscopic surgery undergoing general anesthesia.
详细描述
To find out the risk factors for postoperative shoulder-tip pain after laparoscopic surgery undergoing general anesthesia.Besides,this research also aims to observe the incidence of postoperative shoulder-tip pain after laparoscopic surgery undergoing general anesthesia.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients over 18 years old (including 18 years old) having gynecologic or gastrointestinal or hepatobiliary surgery undergoing general anesthesia;
- •Patients agreeing to participate in the study and sign the informed consent.
排除标准
- •Patients under 18 years age or having emergency laparoscopic surgery;
- •Patients having laparoscopy but not undergoing general anesthesia;
- •Patients undergoing laparoscopy and having hysteroscopy at the same time.
- •Patients undergoing laparoscopy and having fistulostomy at the same time.
- •Patients having regional thermoperfusion after laparoscopic surgery.
- •Laparoscopy being needed to converse to laparotomy.
- •Patients having shoulder pain or history of periarthritis of shoulder or long-term taking painkillers.
- •Patients having severe psychological problem and unable to cooperate with our study.
- •Patients being sent to ICU for further treatment after operation.
- •Patients being discharged within 2 days after operation and losing contact.
- •Patients having another operation after laparoscopy.
- •Patients taking another painkillers except using patient-controlled intravenous analgesia.
- •Patients refusing to take part in this study.
结局指标
主要结局
sex
时间窗: Baseline (before laparoscopic surgery)
Compare sex(male or female)difference between two groups.
age
时间窗: Baseline (before laparoscopic surgery)
Compare age difference between two groups.
body mass index(BMI)
时间窗: Baseline (before laparoscopic surgery)
Compare BMI difference between two groups.First,investigators get the weight(kg）and height(m) of the patient from medical record.Then BMI(kg/m\^2) is calculated with the formula,weight(kg)/height(m)\^2.
peritoneal drainage
时间窗: within laparoscopic surgery
Compare the use of peritoneal drainage difference(used or unused) between two groups.The investigators collect this information from operation record.
the use of patient-controlled intravenous analgesia
时间窗: two days after laparoscopic surgery
Compare the use of patient-controlled intravenous analgesia(PCIA) difference(used or unused) after laparoscopic surgery.The drugs for patients using PCIA to control pain are different but the investigators ignore the difference of the drug composition.As long as the patient uses PCIA,he or she belongs to the using group.The investigators collect this information from the anesthesia record.
operative position
时间窗: within laparoscopic surgery
Compare operative position difference between two groups.The operative position include lateral position,trendelenburg position and feet-down tilt position.The investigators collect this information from the anesthesia record.
operative duration
时间窗: within laparoscopic surgery
Compare operative duration(minutes) between two groups.The investigators collect this information from operation record.
the use of sufentanil
时间窗: within laparoscopic surgery
Compare the use of sufentanil difference(used or unused)between two groups.The investigators collect this information from the anesthesia record.
the use of fentanyl
时间窗: within laparoscopic surgery
Compare the use of fentanyl difference(used or unused) between two groups.The investigators collect this information from the anesthesia record.
the use of sevoflurane
时间窗: within laparoscopic surgery
Compare the use of sevoflurane difference(used or unused) between two groups.The investigators collect this information from the anesthesia record.
the use of flubiprofen
时间窗: within laparoscopic surgery
Compare the use of flubiprofen difference(used or unused) between two groups.The investigators collect this information from the anesthesia record.
inpatient department
时间窗: Baseline (before laparoscopic surgery)
Compare the inpatient department difference between two groups.The inpatient department include the department of gynecology, gastrointestinal surgery and hepatolugical surgery.The investigators read the medical record to find out which department the patient is in.
the use of remifentanil
时间窗: within laparoscopic surgery
Compare the use of remifentanil difference(used or unused) between two groups.The investigators collect this information from the anesthesia record.
the use of intravenous lidocaine
时间窗: within laparoscopic surgery
Compare the use of intravenous lidocaine difference(used or unused) between two groups.The investigators collect this information from the anesthesia record.
the use of dexamethasone
时间窗: within laparoscopic surgery
Compare the use of dexamethasone difference(used or unused) between two groups.The investigators collect this information from the anesthesia record.
the use of deep neuromuscular block
时间窗: within laparoscopic surgery
Compare the use of deep neuromuscular block difference(used or unused) when undergoing general anesthesia between two groups.Neuromuscular block was monitored using post-tetanic-count(PTC) stimulation by a muscle relaxation monitor.If the PTC is within 1-2,the neuromuscular block of patient is deep.If not, the neuromuscular block of patient is not deep.The investigators collect this information from the anesthesia record.
the use of tracer-site infiltration with ropinvacaine
时间窗: within laparoscopic surgery
Compare the use of tracer-site infiltration with ropinvacaine difference(used or unused) when undergoing general anesthesia between two groups.The investigators collect this information from the anesthesia record.
ASA grade
时间窗: Baseline (within laparoscopic surgery)
Compare ASA grade difference between two groups.The ASA grade includes five grades(Ⅰ,Ⅱ,Ⅲ,Ⅳ,Ⅴ）.The investigators collect this information from the anesthesia record.
the use of dezocine
时间窗: within laparoscopic surgery
Compare the use of dezocine difference(used or unused) between two groups.The investigators collect this information from the anesthesia record.
the use of methylprednisolone
时间窗: within laparoscopic surgery
Compare the use of methylprednisolone difference(used or unused) between two groups.The investigators collect this information from the anesthesia record.
the use of morphine
时间窗: within laparoscopic surgery
Compare the use of morphine difference(used or unused) between two groups.The investigators collect this information from the anesthesia record.
the use of butophanol
时间窗: within laparoscopic surgery
Compare the use of butophanol difference(used or unused) between two groups.The investigators collect this information from the anesthesia record.
the use of parecoxib
时间窗: within laparoscopic surgery
Compare the use of parecoxib difference(used or unused) between two groups.The investigators collect this information from the anesthesia record.
the use of tramadol
时间窗: within laparoscopic surgery
Compare the use of tramadol difference(used or unused) between two groups.The investigators collect this information from the anesthesia record.
the use of peripheral nerve block
时间窗: within laparoscopic surgery
Compare the use of peripheral nerve block difference(used or unused) when undergoing general anesthesia between two groups.The types of peripheral nerve block in our study include ilioinguinal and iliohypogastric nerve blocks,transversus abdominis plane block(TAP) and rectus sheath block(RSB).Patients who using any kind of the above peripheral nerve block belong to the group that is using peripheral nerve block when undergoing general anesthesia.The investigators collect this information from the anesthesia record.
次要结局
- incidence of postoperative shoulder-tip pain after laparoscopic surgery undergoing general anesthesia(two months after laparoscopic surgery)
研究者
ZhiHeng Liu
Head of Anesthesiology
Shenzhen Second People's Hospital