دورية أكاديمية
Additional low-pressure pulmonary recruitment for reducing post-laparoscopic shoulder pain in gynecologic laparoscopy: a randomized controlled trial
| العنوان: | Additional low-pressure pulmonary recruitment for reducing post-laparoscopic shoulder pain in gynecologic laparoscopy: a randomized controlled trial |
|---|---|
| المؤلفون: | Amornrat Temtanakitpaisan, Teerayut Temtanakitpaisan, Chaiyaporn Pratipanawatr, Pranom Buppasiri, Monsicha Somjit |
| المصدر: | Obstetrics & Gynecology Science, Vol 67, Iss 2, Pp 253-260 (2024) |
| بيانات النشر: | Korean Society of Obstetrics and Gynecology, 2024. |
| سنة النشر: | 2024 |
| المجموعة: | LCC:Gynecology and obstetrics |
| مصطلحات موضوعية: | gynecologic diseases, laparoscopic surgery, pulmonary recruitment maneuver, shoulder pain, Gynecology and obstetrics, RG1-991 |
| الوصف: | Objective To evaluate the effectiveness of additional low-pressure pulmonary recruitment in reducing postoperative shoulder pain. Methods A double-blind randomized controlled trial was conducted at Srinagarind Hospital between May 2021 and October 2021. Forty patients who underwent laparoscopic gynecologic surgery were randomized into either an intervention group that received additional low-pressure pulmonary recruitment (30 cmH2O) (n=20) or a control group (n=20). Shoulder pain was evaluated using a numerical rating scale from 0 to 10, 24, and 48 hours after the operation. Results The mean±standard deviation of shoulder pain at 24 hours after the operation of both the intervention and control groups were 2.10±2.27 and 1.45±1.73 points, respectively. The shoulder pain at 48 hours after the operation of the intervention and control groups were 1.15±1.46 and 0.85±1.73 points, respectively. There were no statistical differences in the mean difference between the two groups at 24 and 48 hours after operation (P=0.49; 95% confidence interval [CI], −0.61 to 1.91 and P=1.00; 95% CI, −0.96 to 1.56, respectively). No statistically significant differences were observed in additional analgesic medications used in either group, such as intravenous morphine or oral acetaminophen. Conclusion Additional low-pressure pulmonary recruitment to reduce shoulder pain after laparoscopic surgery for benign gynecologic diseases did not show a significant benefit compared to the control group, especially when administering postoperative around-the-clock analgesia. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English Korean |
| تدمد: | 2287-8572 2287-8580 |
| العلاقة: | http://ogscience.org/upload/pdf/ogs-23197.pdfTest; https://doaj.org/toc/2287-8572Test; https://doaj.org/toc/2287-8580Test |
| DOI: | 10.5468/ogs.23197 |
| الوصول الحر: | https://doaj.org/article/75679e20947649cab0e88b9752f34eacTest |
| رقم الانضمام: | edsdoj.75679e20947649cab0e88b9752f34eac |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 22878572 22878580 |
|---|---|
| DOI: | 10.5468/ogs.23197 |