Clinical trial NCT04386603: Risk Factors for Postoperative Shoulder-tip Pain After Laparoscopic Surgery Undergoing General Anesthesia
Official title: Risk Factors for Postoperative Shoulder-tip Pain After Laparoscopic Surgery Undergoing General Anesthesia
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Laparoscopic Surgery
Anesthesia
Keywords: risk factor
laparoscopic surgery
postoperative shoulder pain
Lead sponsor: Shenzhen Second People's Hospital
Sponsor class: OTHER
Collaborators: name: Shenzhen Third People's Hospital
First posted: 2020-05-13
Enrollment: 1311
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: CASE_ONLY
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: The patients included in this research all have diseases which need to have surgeries to fix their problems.Some of them not only have one disease but have two or more diseases such as cardiovascular disfunction,respiratory disfunction and so on.All of them are Asian and over 18 years old.

Brief summary: To find out the risk factors for postoperative shoulder-tip pain after laparoscopic surgery undergoing general anesthesia.

Detailed description: To find out the risk factors for postoperative shoulder-tip pain after laparoscopic surgery undergoing general anesthesia.Besides,this research also aims to observe the incidence of postoperative shoulder-tip pain after laparoscopic surgery undergoing general anesthesia.

Eligibility criteria: Inclusion Criteria:

1. Patients over 18 years old (including 18 years old) having gynecologic or gastrointestinal or hepatobiliary surgery undergoing general anesthesia;
2. Patients agreeing to participate in the study and sign the informed consent.

Exclusion Criteria:

1. Patients under 18 years age or having emergency laparoscopic surgery;
2. Patients having laparoscopy but not undergoing general anesthesia;
3. Patients undergoing laparoscopy and having hysteroscopy at the same time.
4. Patients undergoing laparoscopy and having fistulostomy at the same time.
5. Patients having regional thermoperfusion after laparoscopic surgery.
6. Laparoscopy being needed to converse to laparotomy.
7. Patients having shoulder pain or history of periarthritis of shoulder or long-term taking painkillers.
8. Patients having severe psychological problem and unable to cooperate with our study.
9. Patients being sent to ICU for further treatment after operation.
10. Patients being discharged within 2 days after operation and losing contact.
11. Patients having another operation after laparoscopy.
12. Patients taking another painkillers except using patient-controlled intravenous analgesia.
13. Patients refusing to take part in this study.

Primary outcomes:
measure: inpatient department
timeFrame: Baseline (before laparoscopic surgery)
measure: sex
timeFrame: Baseline (before laparoscopic surgery)
measure: age
timeFrame: Baseline (before laparoscopic surgery)
measure: body mass index(BMI)
timeFrame: Baseline (before laparoscopic surgery)
measure: ASA grade
timeFrame: Baseline (within laparoscopic surgery)
measure: operative position
timeFrame: within laparoscopic surgery
measure: peritoneal drainage
timeFrame: within laparoscopic surgery
measure: operative duration
timeFrame: within laparoscopic surgery
measure: the use of sufentanil
timeFrame: within laparoscopic surgery
measure: the use of fentanyl
timeFrame: within laparoscopic surgery
measure: the use of remifentanil
timeFrame: within laparoscopic surgery
measure: the use of morphine
timeFrame: within laparoscopic surgery
measure: the use of butophanol
timeFrame: within laparoscopic surgery
measure: the use of sevoflurane
timeFrame: within laparoscopic surgery
measure: the use of flubiprofen
timeFrame: within laparoscopic surgery
measure: the use of parecoxib
timeFrame: within laparoscopic surgery
measure: the use of dezocine
timeFrame: within laparoscopic surgery
measure: the use of tramadol
timeFrame: within laparoscopic surgery
measure: the use of intravenous lidocaine
timeFrame: within laparoscopic surgery
measure: the use of dexamethasone
timeFrame: within laparoscopic surgery
measure: the use of methylprednisolone
timeFrame: within laparoscopic surgery
measure: the use of deep neuromuscular block
timeFrame: within laparoscopic surgery
measure: the use of peripheral nerve block
timeFrame: within laparoscopic surgery
measure: the use of tracer-site infiltration with ropinvacaine
timeFrame: within laparoscopic surgery
measure: the use of patient-controlled intravenous analgesia
timeFrame: two days after laparoscopic surgery
Secondary outcomes:
measure: incidence of postoperative shoulder-tip pain after laparoscopic surgery undergoing general anesthesia
timeFrame: two months after laparoscopic surgery
Other outcomes:
Locations:
city: Shenzhen
country: China
facility: Shenzhen Second People's Hospital
state: Guangdong
Study officials:
affiliation: Anesthesia department of ShenZhen Second People's Hospital
name: Liu Zhiheng, Doctor
role: STUDY_CHAIR
References:
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