Evaluation of the effect of intra-operative intravenous fluid on post-operative pain and pulmonary function: a randomized trial comparing 10 and 30 ml kg−1 of crystalloid

Straub, B. D.; Aslani, A.; Enohumah, Kingsley; Rahore, R.; Conrick-Martin, Ian; Kumar, Deepak; Campbell, Mark; Mocanu, Edgar; Loughrey, J. P. R.; Hayes, Niamh; McCaul, Conán

doi:10.1007/s11845-013-1049-0

Cited by 4 publications

(6 citation statements)

References 30 publications

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“…In the elderly, impaired respiratory function is one factor leading to declining physical function and eventually to increased morbidity and mortality5 ) . Several methods used to improve respiratory function have been studied, including pulmonary rehabilition6 ) , medicine therapy7 ) , operative methods8 ) , respiratory muscle strengthening exercise9 ) , and spinal manipulation therapy10 ) .…”

Section: Introductionmentioning

confidence: 99%

The immediate effects of spinal thoracic manipulation on respiratory functions

Shin

Lee

2016

J Phys Ther Sci

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[Purpose] The purpose of this study was to investigate the effects of thoracic spinal manipulation therapy on respiratory function including forced vital capacity and forced expiratory volume in one second in young healthy individuals. [Subjects and Methods] Thirty young healthy subjects recruited from a local university participated in this study. Subjects were randomly allocated into an experimental group (n=15) and a control group (n=15). The experimental group received thoracic spinal manipulation and the control group received placebo thoracic spinal manipulation. Respiratory function tests, including forced vital capacity and forced expiratory volume in one second, were measured before and after intervention. [Results] The values for both tests were significantly higher in the experimental group. The control group showed no changes after the intervention. Differences in pre- and post-intervention values for both tests were significantly different between the 2 groups. [Conclusion] Spinal manipulation therapy applied to the thoracic region improved respiratory function test results of participants in this study.

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Section: Introductionmentioning

confidence: 99%

The immediate effects of spinal thoracic manipulation on respiratory functions

Shin

Lee

2016

J Phys Ther Sci

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“…Although there are many methods to reduce postoperative pain in ambulatory laparoscopy, 7 – 10 , 13 , 18 it is our opinion that the more complicated the laparoscopic procedure is, the longer would be the duration of surgery and hospitalization required. In addition, laparoscopic equipment will become increasingly smaller in diameter over the next decade, causing difficulty in CO 2 reduction before the port suture, and then this procedure will help to prolong the duration of gas release.…”

Section: Discussionmentioning

confidence: 99%

“…Several methods have been recommended to improve postoperative pain for ambulatory procedures, including a pulmonary recruitment maneuver, 8 , 9 intraperitoneal infusion with saline 10 or analgesic drugs, 11 low pressure laparoscopic surgery, 12 and the prescription of different types of preoperative medicine. 13 …”

Section: Introductionmentioning

confidence: 99%

The effect of peritoneal gas drain on postoperative pain in benign gynecologic laparoscopic surgery: a double-blinded randomized controlled trial controlled trial

Tharanon¹,

Khampitak²

2016

IJWH

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ObjectivesTo compare the effect of peritoneal gas drain on postoperative pain in benign gynecologic laparoscopic surgery and the amount of postoperative analgesic dosage.MethodsThe trial included 45 females who had undergone operations during the period December 2014 to October 2015. The patients were block randomized based on operating time (<2 and ≥2 hours). The intervention group (n=23) was treated with postoperative intraperitoneal gas drain and the control group (n=22) was not. The mean difference in scores for shoulder, epigastric, suprapubic, and overall pain at 6, 24, 48 hours postoperatively were statistically evaluated using mixed-effect restricted maximum likelihood regression. The differences in the analgesic drug usage between the groups were also analyzed using a Student’s t-test. The data were divided and analyzed to two subgroups based on operating time (<2 hours, n=20; and $2 hours, n=25).ResultsThe intervention had significantly lower overall pain than the control group, with a mean difference and 95% confidence interval at 6, 24, and 48 hours of 2.59 (1.49–3.69), 2.23 (1.13–3.34), and 1.48 (0.3–2.58), respectively. Correspondingly, analgesic drug dosage was significantly lower in the intervention group (3.52±1.47 mg vs 5.72±2.43 mg, P<0.001). The three largest mean differences in patients with operating times of ≥2 hours were in overall pain, suprapubic pain at 6 hours, and shoulder pain at 24 hours at 3.27 (1.14–5.39), 3.20 (1.11–5.26), and 3.13 (1.00–5.24), respectively. These were greater than the three largest mean differences in the group with operating times of <2 hours, which were 2.81 (1.31–4.29), 2.63 (0.51–4.73), and 2.02 (0.68–3.36). The greatest analgesic drug requirement was in the control group with a longer operative time.ConclusionThe use of intraperitoneal gas drain was shown to reduce overall postoperative pain in benign gynecologic laparoscopic surgery. The effects were higher in patients who had experienced longer operating times.

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“…70 Pulmonary function was not adversely affected at these volumes, but it should be recognized that the patients in these studies did not have cardiorespiratory disease, and equivalent volumes of fluid may not be appropriate to all patient populations and surgeries. 71 Intravenous fluid administration has also been shown to reduce pain after laparoscopic surgery. 71,72 The results of the studies investigating colloids are conflicting.…”

Section: Reducing Baseline Riskimportance Of Nonpharmacological Intermentioning

confidence: 99%

“…71 Intravenous fluid administration has also been shown to reduce pain after laparoscopic surgery. 71,72 The results of the studies investigating colloids are conflicting. 73 Preoperative oral carbohydrate drinks taken 2 hours preoperatively have been shown to reduce PONV.…”

Section: Reducing Baseline Riskimportance Of Nonpharmacological Intermentioning

confidence: 99%

Ambulatory anesthesia and postoperative nausea and vomiting: predicting the probability

Hegarty

Buckley

McCaul

2016

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Nausea and vomiting are distinctly unpleasant symptoms that may occur after surgery and anesthesia, and high priority is given to their prevention by patients. Research in this area is plentiful and has focused on event prediction and pharmacological prophylaxis but despite this, postoperative nausea and vomiting (PONV) typically occurs in 20%-30% of patients in contemporary practice. Prediction of postoperative and postdischarge nausea and vomiting is particularly important in the ambulatory surgical population as these symptoms may occur following discharge from hospital and continue for up to one week when access to antiemetic therapies is limited. Many of the existing predictive scoring systems are based on data from inpatient populations and limited to the first 24 hours after surgery. Scoring systems based on data from ambulatory surgical populations to predict PONV are only moderately good. The best-performing systems in ambulatory patients are those of Sinclair and Sarin with an area under the receiver operating characteristic curve of 0.78 and 0.74, respectively, but are limited by the short duration of follow-up and a greater emphasis on nausea than vomiting. Given that the ability to predict both PONV and postdischarge nausea and vomiting is clearly limited, emphasis has been placed on prophylactic strategies that incorporate antiemetic medication, intravenous hydration, and nonnarcotic analgesia. PONV has been reduced to <10% in institutions using multimodal approaches. Scoring systems may facilitate "risk tailoring" in which patient risk profile is used as a stratification method for pharmacointervention.

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Evaluation of the effect of intra-operative intravenous fluid on post-operative pain and pulmonary function: a randomized trial comparing 10 and 30 ml kg−1 of crystalloid

Abstract: Liberal compared to restrictive administration of i.v. crystalloid is associated with a clinical modest reduction in pain. Pulmonary dysfunction was not increased with liberal fluid administration.

Cited by 4 publications

References 30 publications

The immediate effects of spinal thoracic manipulation on respiratory functions

The immediate effects of spinal thoracic manipulation on respiratory functions

The effect of peritoneal gas drain on postoperative pain in benign gynecologic laparoscopic surgery: a double-blinded randomized controlled trial controlled trial

Ambulatory anesthesia and postoperative nausea and vomiting: predicting the probability

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