지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 187 - 194 (8page)
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ObjectiveTo compare the efficacy of a pulmonary recruitment maneuver using lower airway pressure (30 cm H2O) andintraperitoneal bupivacaine, alone or in combination, for reducing shoulder pain after gynecologic laparoscopy. MethodsA prospective controlled study was performed in a teaching hospital with patients who underwent electivegynecologic laparoscopic surgery. Two hundred eighty-seven patients were randomized into 1 of 4 groups: groupA, placebo; group B, intraperitoneal instillation of bupivacaine; group C, CO2 removal by a pulmonary recruitmentmaneuver; group D, combination of intraperitoneal bupivacaine and pulmonary recruitment maneuver. Theinterventions were performed at the end of surgery. Shoulder pain was recorded on a visual analog scale (VAS) at 1, 6,12, and 24 hours postoperatively. ResultsThe overall incidence of shoulder pain was 49.8% and the incidence tended to gradually decrease from group A togroup D (59.0% in group A, 54.8% in group B, 44.4% in group C, and 41.5% in group D; P=0.026). In addition, theVAS scores gradually decreased from group A to D, although a statistically significant difference was only found at6 hours postoperatively (P=0.03). There were no complications related to the interventions. ConclusionThe combination of a pulmonary recruitment maneuver with intraperitoneal bupivacaine significantly reducedshoulder pain after gynecologic laparoscopy. Trial RegistrationClinicalTrials.gov Identifier: NCT01039441.
목차
등록된 정보가 없습니다.
참고문헌 (38)
참고문헌 신청
Grace PA / 1991 / Reduced postoperative hospitalization after laparoscopic cholecystectomy / Br J Surg 78:160~162
Ortega AE / 1995 / A prospective, randomized comparison of laparoscopic appendectomy with open appendectomy / Am J Surg 169:208~212
Alexander JI / 1997 / Pain after laparoscopy / Br J Anaesth 79:369~378
Cason CL / 1996 / Recovery from laparoscopic cholecystectomy procedures / AORN J 63:1099~1103
Madsen MR / 1992 / Postoperative pain and nausea after laparoscopic cholecystectomy / Surg Laparosc Endosc 2:303~305
Ortega AE / 1995 / A prospective, randomized comparison of laparoscopic appendectomy with open appendectomy / Am J Surg 169:208~212
Alexander JI / 1997 / Pain after laparoscopy / Br J Anaesth 79:369~378
Cason CL / 1996 / Recovery from laparoscopic cholecystectomy procedures / AORN J 63:1099~1103
Madsen MR / 1992 / Postoperative pain and nausea after laparoscopic cholecystectomy / Surg Laparosc Endosc 2:303~305
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