A Novel Strategy of Laparoscopic Insufflation Rate Improving Shoulder Pain: Prospective Randomized Study
| Autor: | Bao-Chung Chen, Si-Yuan Wu, Cheng-Jueng Chen, Yang Ch, Teng-Wei Chen, De-Chuan Chan, Kuo-Feng Hsu, Chung-Bao Hsieh, Jyh-Cherng Yu |
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| Rok vydání: | 2018 |
| Předmět: |
Laparoscopic surgery
Bradycardia Insufflation Adult Male Visual Analog Scale medicine.medical_treatment law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Pneumoperitoneum law Shoulder Pain medicine Humans Prospective Studies Laparoscopy Adverse effect Aged Pain Postoperative medicine.diagnostic_test business.industry Incidence (epidemiology) Gastroenterology Middle Aged medicine.disease Cholecystectomy Laparoscopic 030220 oncology & carcinogenesis Anesthesia 030211 gastroenterology & hepatology Surgery Female medicine.symptom business Pneumoperitoneum Artificial |
| Zdroj: | Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract. 23(10) |
| ISSN: | 1873-4626 |
| Popis: | Laparoscopic surgery is the main trend method in a variety of surgical fields. Post-operative shoulder pain remains a bothersome issue although many surgical techniques have been applied to minimize it. A simple novel approach to reduce shoulder pain without adverse effects during and after laparoscopic surgery is desired. This prospective randomized controlled study was conducted to enroll a total of 140 patients to evaluate the efficacy of low flow rate (1 L/min) for induction followed by high flow rate (10 L/min) for maintaining 12 mmHg pneumoperitoneum (group A, n = 70) during laparoscopic cholecystectomy (LC), compared to the continuous high flow rate group (group B, n = 70) in postoperative shoulder pain and other clinical features. The 10-visual analog scale (VAS) was applied for the severity of shoulder pain and scores were obtained at 1, 6, 12, 24, and 48 h after LC. There was no obvious difference in baseline characteristics as well as operative time, occurrence of bradycardia, or hospital stay between groups. The incidence of shoulder pain was not significantly different (group A 45.7% vs group B 48.6%, p = 0.866). However, the patients in group A with shoulder pain reported significantly less pain scores (p |
| Databáze: | OpenAIRE |
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