NCT02596425

Pulmonary Recruitment Maneuver for Postlaparoscopic Shoulder Pain

Pulmonary Recruitment Maneuver to Reduce Postlaparoscopic Shoulder Pain: Randomized Controlled Trial

• Status: Completed
• Phase: Phase 3
• Study type: Interventional
• Enrollment: 90 (actual)
• Sponsor: Kangbuk Samsung Hospital · Academic / Other
• Sex: Female
• Age: 19 Years – 65 Years
• Healthy volunteers: Not accepted

Summary

The aim of this clinical trial is to evaluate the efficacy and safety of different recruitment maneuvers for reducing postlaparoscopic shoulder pain.

Detailed description

Shoulder pain after laparoscopy is common and its probable mechanism is residual CO2 gas after surgery. The pulmonary recruitment maneuver can mechanically remove residual CO2 and reduce pain. In literature, there are two different recruitment maneuvers, which was manual inflation of the lungs with positive pressure ventilation of either 40cmH2O or 60cmH2O at the end of surgery. However, the higher positive pressure may be associated with more chance of barotrauma. Therefore, it is important to determine the lowest effective pressure for reducing postlaparoscopic shoulder pain. The aim of this clinical trial is to evaluate the efficacy and safety of different recruitment maneuvers (40cmH2O or 60cmH2O) for reducing postlaparoscopic shoulder pain.

Conditions

• Gynecologic Diseases

Interventions

Type	Name	Description
PROCEDURE	40 cmH2O	The intervention was five manual inflations of the lungs with positive pressure ventilation of 40 cmH2O at the end of surgery.
PROCEDURE	60 cmH2O	The intervention was five manual inflations of the lungs with positive pressure ventilation of 60 cmH2O at the end of surgery.
PROCEDURE	Passive deflation	In the controls, CO2 was removed by the traditional passive deflation of abdominal cavity.

Timeline

• Start date: 2015-11-01
• Primary completion: 2016-05-01
• Completion: 2016-05-01
• First posted: 2015-11-04
• Last updated: 2016-12-01

Locations

1 site across 1 country: South Korea