We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
The influence of the pulmonary recruitment maneuver on post-laparoscopic shoulder pain in patients having a laparoscopic cholecystectomy: a randomized controlled trial.
- Authors
Samarah, Bushra Mousa; Shehada, Fatema Amer; Qaddumi, Jamal; Almasry, Nour Aldin; Alhroub, Nisser; ALBashtawy, Bayan; Mohammad, Khitam; ALBashtawy, Sa'd; Alkhawaldeh, Abdullah; ALBashtawy, Mohammed; Al Omari, Omar; Aljezawi, Ma'en; Hamadneh, Shereen; Suliman, Mohammad; Hani, Salam Bani; ALBashtawy, Zaid
- Abstract
Background: Post-laparoscopic shoulder pain is very common after laparoscopy. One method to reduce postoperative shoulder pain is the pulmonary recruitment maneuver. It is used to reduce post-laparoscopic shoulder pain. This study utilizes a truly experimental, double-blinded, prospective randomized design to assess the effect of pulmonary recruitment maneuvers on post-laparoscopic shoulder pain after laparoscopic cholecystectomy. Methods: Sixty patients were allocated randomly into two groups. The intervention group received five manual pulmonary inflations for 5 s at a maximum pressure of 25 cm H2O. The control group included patients whose residual CO2 gas was evacuated from the abdominal cavity using passive exsufflation as the routine method at the end of surgery by abdominal massage. Gentle abdominal pressure was applied to facilitate CO2 gas removal. Results: When Ramsay's Sedation Score's results were compared between the two groups after the operation, there was no statistically significant difference between the two groups during the first and (p value = 0.20) second (p value = 0.61) hours. A repeated measures ANOVA revealed that the pulmonary recruitment maneuver is significant (p-value 0.001) and had a high effect size (0.527) in reducing shoulder pain among laparoscopic cholecystectomy patients after controlling the effect of other covariate patient characteristics. Conclusion: Utilizing a pulmonary recruitment maneuver at the end of laparoscopic surgery reduces shoulder pain.
- Publication
Surgical Endoscopy & Other Interventional Techniques, 2023, Vol 37, Issue 11, p8473
- ISSN
1866-6817
- Publication type
Article
- DOI
10.1007/s00464-023-10450-x