Pulmonary Recruitment Maneuver Effects on Laparoscopic Complications: An Evidence Based Practice Analysis
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Michael Feighny, DNAP, CRNA michael.feighny@bryanhealthcollege.edu
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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.
| Type | Other Graduate Paper |
| Acquisition | Proxy-submission |
| Review Type | Faculty Approved: Degree-based Submission |
| Format | Text-based Document |
| Evidence Level | N/A |
| Research Approach | N/A |
| Keywords | Laparoscopy; Anesthesia; Shoulder Pain; pneumoperitoneum; post-operative nausea and vomiting; Analgesia; pulmonary recruitment maneuver; surgery |
| CINAHL Subject(s) | 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 |
| Grantor | Bryan College of Health Sciences |
| Advisor | Pecka, Shannon |
| Level | Doctoral – Other |
| Year | 2017 |
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