NDLI: Randomised clinical trial of the influence of pulmonary recruitment manoeuvre on reducing shoulder pain after laparoscopy.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Sharami, S. H. Sharami, M. B. Abdollahzadeh, M. Keyvan, A.
Description	Country affiliation: Iran Author Affiliation: Sharami SH ( Reproductive Health Research Center, Department of Obstetrics and Gynaecology, Alzahra Hospital, Guilan University of Medical Sciences, Rasht, Guilan, Iran. sharami@gums.ac.ir)
Abstract	Shoulder pain after laparoscopy is common and its probable mechanism is residual CO(2) gas after surgery. The aim of this study was to examine the effect of pulmonary recruitment manoeuvre which means pulmonary inflation with positive pressure of 40 cm H(2)O to remove gas and reduction of shoulder pain after gynaecological laparoscopic surgery. A double-blind clinical trial on 146 patients for minor gynaecological laparoscopy was performed from May 2008 to February 2009. Patients were randomly assigned into two groups of control and intervention (cases). The intervention was five manual inflations of the lungs with positive pressure ventilation of 40 cmH(2)O at the end of surgery, while the last one was held for 5 s. In the controls, CO(2) was removed by the traditional passive deflation of abdominal cavity. Shoulder pain intensity was assessed at 4, 12, 24 and 48 h after the surgery using a visual analogue scale (VAS).The background variables; characteristics of operation and analgesic use were recorded. Statistical significance was defined as p < 0.05. A total of 131 complete sets of data were analysed. Participants in the two groups were matched for age, parity, body mass index, type of surgery and CO(2) pressure setting. The relative frequency of shoulder pain at 4 h did not show significant differences in the two groups, but was lower in the intervention group at 12, 24, and 48 h after the surgery (p = 0.001). Pain scores in the control and intervention group were 3.6 +/- 3.5 vs 1.28 +/- 1.7; 3.4 +/- 2.9 vs 1.19 +/- 1.7; 2.6 +/- 2.4 vs 0.89 +/- 1.3; 1.5 +/- 1.6 vs 0.46 +/- 0.7, at 4, 12, 24 and 48 h after operation, respectively (p < 0.001). The controls had greater usage of analgesics 1.12 +/- 5.67 compared with 0.95 + 0.31 in the cases. It was concluded that pulmonary recruitment manoeuvre seems to be a simple and safe way to reduce shoulder pain and analgesic use after laparoscopy.
File Format	HTM / HTML
ISSN	01443615
Issue Number	5
Volume Number	30
e-ISSN	13646893
Journal	Journal of Obstetrics and Gynaecology
Language	English
Publisher	Taylor & Francis
Publisher Date	2010-01-01
Publisher Place	Great Britain (UK)
Access Restriction	Subscribed
Subject Keyword	Polycystic Ovary Syndrome Therapy Humans Middle Aged Discipline Obstetrics Peritoneal Cavity Gynecologic Surgical Procedures Journal Article Young Adult Surgery Ovarian Cysts Adult Female Adverse Effects Prevention & Control Positive-pressure Respiration Pain, Postoperative Treatment Outcome Laparoscopy Sterilization, Tubal Randomized Controlled Trial Shoulder Pain Carbon Dioxide Adolescent Discipline Gynaecology Methods
Content Type	Text
Resource Type	Article
Subject	Obstetrics and Gynecology

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in