Assessement of Pulmonary Recruitment Manoeuver in reducing pain in patients undergoing laparoscopic surgery.

Not yet recruiting

Brief Summary: Laparoscopic surgery has gained signiï¬cant ground in the operative field as a minimally invasive technique it offers the advantages of decrease in the interval until return to daily activity. This is mainly accomplished through reduction of postoperative pain. However, signiï¬cant proportion of patients still require postoperative analgesia, because these patients seem to suffer from shoulder and/or abdominal pain. The intensity of this type of pain may range from subtle to severe and rarely persists for a period longer than 72 h. Numerous pathophysiologic pathways have been proposed, with carbon dioxide residual and phrenic nerve damage during diaphragmatic stretching being the most accepted theories. While several number of studies have investigated in the past various techniques that could potentially alleviate this type of pain. Over years, several studies have proposed that a simple anesthesiologic maneuver involving pulmonary recruitment after the completion of the laparoscopic procedure might improve the postoperative pain scores of those patients. The pulmonary recruitment maneuver, involves a series of positive pressure ventilations after the completion of the laparoscopic procedure. It increases the intra-abdominal pressure, and consequently reduces the residual gas in the abdominal cavity.

Recruitment & Eligibility

Inclusion Criteria

All patients undergoing laparoscopy.

Exclusion Criteria

COPD and pregnant patients.

Primary Outcome Measures

Name	Time	Method
To compare the outcome in terms of	VAS scores will be assessed at 4th, 12th and 24th hour post operatively. and other parameters will be assessed at 24 hours postoperatively.
a.Vas scores at 4,12,24 hrs	VAS scores will be assessed at 4th, 12th and 24th hour post operatively. and other parameters will be assessed at 24 hours postoperatively.
b.Need of second analgesics	VAS scores will be assessed at 4th, 12th and 24th hour post operatively. and other parameters will be assessed at 24 hours postoperatively.
c.Pain scores on coughing and deep breathing exercise	VAS scores will be assessed at 4th, 12th and 24th hour post operatively. and other parameters will be assessed at 24 hours postoperatively.

Secondary Outcome Measures

Name	Time	Method

Locations (1): BGS Globsl institute of Medical Sciences
🇮🇳
Bangalore, KARNATAKA, India
BGS Globsl institute of Medical Sciences
🇮🇳Bangalore, KARNATAKA, India
Dr Dileep Ramesh Hoysal
Principal investigator
9901829377
dileephoysal@gmail.com