Abstract

Postoperative shoulder pain is a common complication following laparoscopic surgery with an incidence as high as 80%.1 The etiology of the shoulder pain is thought to be due to residual carbon dioxide in the abdominal cavity, however the exact mechanism has not been fully elucidated.2 Anesthesia providers are challenged with providing effective postoperative pain relief while minimizing complications. Evidence in the literature suggests laparoscopic related complications such as pain and postoperative nausea and vomiting (PONV) can be reduced by implementing a pulmonary recruitment maneuver in Trendelenburg position (30°) at the end of surgery.3 The maneuver may also have an affect on postoperative analgesic requirements.4,5 The purpose of this evidence-based-analysis is to investigate the effects of a pulmonary recruitment maneuver at the end of laparoscopic surgery on postoperative pain, analgesic requirements, and PONV.

Michael Feighny

Author Details

Michael Feighny, DNAP, CRNA michael.feighny@bryanhealthcollege.edu

Sigma Membership

Non-member

Type

Other Graduate Paper

Format Type

Text-based Document

Study Design/Type

N/A

Research Approach

N/A

Keywords:

Laparoscopy, Anesthesia, Shoulder Pain, Pneumoperitoneum, Post-Operative Nausea and Vomiting, Analgesia, Pulmonary Recruitment Maneuver, Surgery

Advisor

Pecka, Shannon

Degree

Doctoral-Other

Degree Grantor

Bryan College of Health Sciences

Degree Year

2017

Rights Holder

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Review Type

Faculty Approved: Degree-based Submission

Acquisition

Proxy-submission

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