Pulmonary Recruitment Maneuver Effects on Laparoscopic Complications: An Evidence Based Practice Analysis

5.00
Hdl Handle:
http://hdl.handle.net/10755/621596
Category:
Full-text
Format:
Text-based Document
Type:
Other Graduate Paper
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Pulmonary Recruitment Maneuver Effects on Laparoscopic Complications: An Evidence Based Practice Analysis
Author(s):
Feighny, Michael
Additional Author Information:
Michael Feighny, DNAP, CRNA michael.feighny@bryanhealthcollege.edu
Advisors:
Pecka, Shannon
Degree:
Doctoral – Other
Degree Year:
2017
Grantor:
Bryan College of Health Sciences
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.

Keywords:
Laparoscopy; Anesthesia; Shoulder Pain; pneumoperitoneum; post-operative nausea and vomiting; Analgesia; pulmonary recruitment maneuver; surgery
CINAHL Headings:
Barotrauma, Pulmonary; Barotrauma, Pulmonary--Prevention and Control; Laparoscopy; Laparoscopy--Adverse Effects; Shoulder Pain; Shoulder Pain--Prevention and Control; Intraoperative Complications; Intraoperative Complications--Prevention and Control; Pneumoperitoneum; Pneumoperitoneum--Therapy; Postoperative Pain; Postoperative Pain--Prevention and Control
Repository Posting Date:
2017-06-26T17:24:48Z
Date of Publication:
2017-06-26

Full metadata record

DC FieldValue Language
dc.contributor.advisorPecka, Shannonen
dc.contributor.authorFeighny, Michaelen
dc.date.accessioned2017-06-26T17:24:48Z-
dc.date.available2017-06-26T17:24:48Z-
dc.date.issued2017-06-26-
dc.identifier.urihttp://hdl.handle.net/10755/621596-
dc.description.abstract<p >Postoperative shoulder pain is a common complication following laparoscopic surgery with an incidence as high as 80%.<span style="font-family: TimesNewRomanPSMT; font-size: xx-small;">1</span> 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.</span><span style="font-family: TimesNewRomanPSMT; font-size: xx-small;"><span style="font-family: TimesNewRomanPSMT; font-size: xx-small;">2 </span></span><span style="font-family: TimesNewRomanPSMT;">Anesthesia providers are challenged with providing effective postoperative pain </span>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.<span style="font-family: TimesNewRomanPSMT; font-size: xx-small;">3 </span> The maneuver may also have an affect on postoperative analgesic requirements.</span><span style="font-family: TimesNewRomanPSMT; font-size: xx-small;">4,5 </span>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.</p>en
dc.formatText-based Documenten
dc.language.isoen_USen
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectLaparoscopyen
dc.subjectAnesthesiaen
dc.subjectShoulder Painen
dc.subjectpneumoperitoneumen
dc.subjectpost-operative nausea and vomitingen
dc.subjectAnalgesiaen
dc.subjectpulmonary recruitment maneuveren
dc.subjectsurgeryen
dc.titlePulmonary Recruitment Maneuver Effects on Laparoscopic Complications: An Evidence Based Practice Analysisen_US
dc.typeOther Graduate Paperen
thesis.degree.grantorBryan College of Health Sciencesen
thesis.degree.levelDoctoral – Otheren
dc.primary-author.detailsMichael Feighny, DNAP, CRNA michael.feighny@bryanhealthcollege.eduen
thesis.degree.year2017en
dc.type.categoryFull-texten
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.subject.cinahlBarotrauma, Pulmonaryen
dc.subject.cinahlBarotrauma, Pulmonary--Prevention and Controlen
dc.subject.cinahlLaparoscopyen
dc.subject.cinahlLaparoscopy--Adverse Effectsen
dc.subject.cinahlShoulder Painen
dc.subject.cinahlShoulder Pain--Prevention and Controlen
dc.subject.cinahlIntraoperative Complicationsen
dc.subject.cinahlIntraoperative Complications--Prevention and Controlen
dc.subject.cinahlPneumoperitoneumen
dc.subject.cinahlPneumoperitoneum--Therapyen
dc.subject.cinahlPostoperative Painen
dc.subject.cinahlPostoperative Pain--Prevention and Controlen
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