Pulmonary Recruitment Manoeuvre-A Novel Approach For Postoperative Pain Reduction In Laparoscopic Surgery
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 3
Abstract
Introduction: Shoulder tip pain and abdominal pain following laparoscopic procedures are well recognized and established causes of postoperative morbidities The etiology of this pain being multifactorial,includes volume of residual gas, type of gas used, intraperitoneal pressures and temperature of insufflated gas. Methodology: Study is an interventional case control study. Total 68 patients were enrolled in the study, 34 being in each group.Control group patients’ pneumoperitoneum was evacuated passively at the end of procedure.Study group patients were placed in Trendelenburg position (30 degrees) and a pulmonary recruitment manoeuvre was utilized comprising of two mechanical inflations to a maximum pressure of 60cmH2O,each lasting for 5seconds with valves of operative ports fully open. Pain scores were asessed at 6,12,24 and 48 hour by use of validated visual analogue scale(VAS). Results: Postoperative pain scores at 6th,12th,24 and 48th hours for both abdominal and shoulder tip pain were found to be significantly low (with p value of 0.00) in study group when compared with those of control group.Also there was no significant difference noted in duration of surgery when compared between control and study group. Conclusion: With this encouraging incidence of pain reduction this manoeuvre should be incorporated in other intra-abdominal laparoscopic surgeries and results needs to be evaluated.
Authors and Affiliations
Ritik Bansal, Rajesh Ballal, Ananda Bangera
Keywords
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- EP ID EP591296
- DOI 10.9790/0853-1603014146
- Views 56
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