Comparison of impacts of intraperitoneal saline instillation with and without pulmonary recruitment maneuver on post-laparoscopic shoulder pain prevention: a randomized controlled trial

Ryu, K.; Lee, Sung Hyun; Cho, Eunah; Kim, Jia; Lim, Goeun; Song, Taejong

doi:10.1007/s00464-018-6354-2

Cited by 11 publications

(26 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Five included studies compared PRM with maximum inspiratory pressure (varying from 30 to 60 cm H 2 O) to abdominal compression [13][14][15][16][17]. A comparison of four included studies was a combination of PRM and intraperitoneal saline (IPS) versus abdominal compression [1,[18][19][20]. One study compared PRM 40 cmH20 with IPS to PRM 60 cmH20 with IPS [21].…”

Section: Characteristics Of Included Studies a Broad Search Inmentioning

confidence: 99%

“…Only the results of comparison between PRM and abdominal compression were included [22]. Ten studies were conducted in participants with benign gynecologic conditions [1,[13][14][15][17][18][19][20][21][22]. Only one study assessed the effect of PRM following laparoscopic surgery for gynecologic cancer [16].…”

Section: Characteristics Of Included Studies a Broad Search Inmentioning

confidence: 99%

“…However, the exact mechanism of laparoscopy-induced shoulder pain remains unclear. Residual carbon dioxide (CO 2 ) trapped between the liver and the right diaphragm is believed to be an irritation of the diaphragm, leading to referred C4 dermatomal shoulder pain [1]. Another possible pathophysiology of shoulder pain after laparoscopic surgery is that intraperitoneal carbonic acid derived from residual CO 2 may induce irritation to the phrenic nerve.…”

Section: Introductionmentioning

confidence: 99%

“…Another possible pathophysiology of shoulder pain after laparoscopic surgery is that intraperitoneal carbonic acid derived from residual CO 2 may induce irritation to the phrenic nerve. Approximately 20%-80% of patients undergoing laparoscopic gynecologic surgery experience shoulder pain [1,2]. Not only is shoulder pain sometimes more severe than surgical wound pain, it also cannot be effectively alleviated by analgesia; thus, it may delay recovery and hospital discharge [1,2].…”

Section: Introductionmentioning

confidence: 99%

“…Approximately 20%-80% of patients undergoing laparoscopic gynecologic surgery experience shoulder pain [1,2]. Not only is shoulder pain sometimes more severe than surgical wound pain, it also cannot be effectively alleviated by analgesia; thus, it may delay recovery and hospital discharge [1,2]. Effective intervention for reducing shoulder pain following laparoscopic surgery, therefore, is mandatory.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Pulmonary Recruitment Maneuver for Reducing Shoulder Pain after Laparoscopic Gynecologic Surgery: A Network Meta-Analysis of Randomized Controlled Trials

Kietpeerakool

Rattanakanokchai

Yantapant

et al. 2020

Minimally Invasive Surgery

View full text Add to dashboard Cite

Background. Shoulder pain is a common symptom following laparoscopic surgery. This systematic review was undertaken to assess updated evidence regarding the effectiveness and complications of the pulmonary recruitment maneuver (PRM) for reducing shoulder pain after laparoscopic gynecologic surgery. Methods. A number of databases for randomized controlled trials (RCTs) investigating PRM for reducing shoulder pain were searched up to June 2019. Two authors independently selected potentially relevant RCTs, extracted data, assessed risk of bias, and compared results. Network meta-analyses were employed to simultaneously compare multiple interventions. Effect measures were presented as pooled mean difference (MD) or risk ratio (RR) with corresponding 95% confidence intervals (CI). Results. Of the 44 records that we identified as a result of the search (excluding duplicates), eleven RCTs involving 1111 participants were included. Three studies had an unclear risk of selection bias. PRM with a maximum pressure of 40 cm H2O was most likely to result in the lowest shoulder pain intensity at 24 hours (MD −1.91; 95% CI −2.06 to −1.76) while PRM with a maximum pressure of 40 cm H2O plus intraperitoneal saline (IPS) appeared to be the most efficient at 48 hours (MD −2.09; 95% CI −2.97 to −1.21). The estimated RRs for analgesia requirement, nausea/vomiting, and cardiopulmonary events were similar across the competing interventions. Conclusion. PRM with 40 cm H2O performed either alone or accompanied by IPS is a promising intervention for alleviating shoulder pain within 48 hours following gynecologic laparoscopy.

show abstract

Section: Characteristics Of Included Studies a Broad Search Inmentioning

confidence: 99%

Section: Characteristics Of Included Studies a Broad Search Inmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Pulmonary Recruitment Maneuver for Reducing Shoulder Pain after Laparoscopic Gynecologic Surgery: A Network Meta-Analysis of Randomized Controlled Trials

Kietpeerakool

Rattanakanokchai

Yantapant

et al. 2020

Minimally Invasive Surgery

View full text Add to dashboard Cite

show abstract

Interventions to reduce shoulder pain following gynaecological laparoscopic procedures

Kaloo

Armstrong

Kaloo

et al. 2019

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

show abstract

Pulmonary Recruitment Maneuver Reduces Shoulder Pain and Nausea After Laparoscopic Cholecystectomy: A Randomized Controlled Trial

Pasquier

Andersson

2021

World j. surg.

View full text Add to dashboard Cite

Background Pain and nausea are common after laparoscopic surgery. This prospective, randomized, controlled trial aimed to investigate postoperative pain and as a secondary endpoint nausea, when performing a ventilator-piloted Pulmonary Recruitment Maneuvre (PRM) at the end of laparoscopic cholecystectomy. Method Patients having elective laparoscopic cholecystectomy were randomized to either ordinary exsufflation or ventilator-piloted PRM, to evacuate intra-abdominal carbon dioxide (CO2) before abdominal closure. A questionnaire with numeric rating scales (NRS) was utilized to evaluate pain and nausea at five occasions during 48 h following surgery. Analgesic and antiemetic treatment was also analyzed. Results 147 patients were analyzed, 76 receiving PRM and 71 controls. Overall pain was well controlled, with no significant difference between the groups regarding incidence (P=0.149) nor intensity (P=0.739). Incidence of shoulder pain was lower in the PRM group during the 48 postoperative hours, 44.7% versus 63.4% (P=0.023). The number needed to treat (NNT) to reduce shoulder pain was 6 (95% Confidence Interval, CI, 2.9–35.5) for the 48-h period. Incidence of nausea was lower in the PRM group during the 48-h period, 51.3% versus 70.4% (P=0.018). NNT was 6 (95% CI 2.9–27.4) for the 48-h period. Nausea intensity was lower in the PRM group during the 48 h (P=0.025). Fewer in the PRM population required antiemetics, 25.0% versus 42.3% (P=0.027). Conclusion A ventilator-piloted PRM at the end of laparoscopic cholecystectomy reduced incidence of shoulder pain, and incidence and intensity of nausea. Clinical trial registrationwww.clinicaltrials.gov. Identifier: NCT03026543.

show abstract

Comparison of impacts of intraperitoneal saline instillation with and without pulmonary recruitment maneuver on post-laparoscopic shoulder pain prevention: a randomized controlled trial

Cited by 11 publications

References 28 publications

Pulmonary Recruitment Maneuver for Reducing Shoulder Pain after Laparoscopic Gynecologic Surgery: A Network Meta-Analysis of Randomized Controlled Trials

Pulmonary Recruitment Maneuver for Reducing Shoulder Pain after Laparoscopic Gynecologic Surgery: A Network Meta-Analysis of Randomized Controlled Trials

Interventions to reduce shoulder pain following gynaecological laparoscopic procedures

Pulmonary Recruitment Maneuver Reduces Shoulder Pain and Nausea After Laparoscopic Cholecystectomy: A Randomized Controlled Trial

Contact Info

Product

Resources

About