Effect of Low-pressure Pulmonary Recruitment Maneuver on Postlaparoscopic Shoulder Pain: Randomized Controlled Trial.
J Minim Invasive Gynecol
; 27(1): 173-177, 2020 01.
Article
em En
| MEDLINE
| ID: mdl-30930211
ABSTRACT
STUDY OBJECTIVE:
Postlaparoscopic 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.DESIGN:
Randomized controlled trial.SETTING:
University hospital. PATIENTS Eighty-four patients who were undergoing elective gynecologic laparoscopy.INTERVENTIONS:
Patients were randomly assigned to the control (nâ¯=â¯42) or the PRM (nâ¯=â¯42) group. MEASUREMENTS AND MAINRESULTS:
The primary outcome was the intensity of the shoulder pain using the visual analog scale (VAS). The VAS score of shoulder pain (median [interquartile range]) 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 2 groups.CONCLUSION:
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.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Dor Pós-Operatória
/
Pneumoperitônio Artificial
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Procedimentos Cirúrgicos em Ginecologia
/
Decúbito Inclinado com Rebaixamento da Cabeça
/
Dor de Ombro
/
Pulmão
Tipo de estudo:
Clinical_trials
/
Etiology_studies
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
J Minim Invasive Gynecol
Assunto da revista:
GINECOLOGIA
Ano de publicação:
2020
Tipo de documento:
Article