Clinical trial NCT05253300: Effect of Semi-recumbent Position on Treatment of Shoulder Pain Seen After Laparoscopic Cholecystectomy
Official title: Laparoskopik Kolesistektomi Ameliyatı Sonrası Omuz Ağrısının Giderilmesinde Semi Rekümbent Pozisyonunun Etkisi
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Shoulder Pain
Keywords: laparoscopic cholecystectomy
shoulder pain
semi-recumbent position
pain
Lead sponsor: Saglik Bilimleri Universitesi Gulhane Tip Fakultesi
Sponsor class: OTHER
First posted: 2022-02-23
Enrollment: 70
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: CROSSOVER
Intervention model description: The type of this study is a quasi-experimental clinical study.
Primary purpose: OTHER

Brief summary: This study was carried out to determine the effect of placing the semi-recumbent position in reducing pain in patients who developed shoulder pain after laparoscopic cholecystectomy.

HO: The application of the semi-recumbent position to patients who develop shoulder pain after laparoscopic cholecystectomy has no effect on reducing pain.

H1: The application of semi-recumbent position in patients who develop shoulder pain after laparoscopic cholecystectomy has an effect on reducing pain.

Detailed description: In addition to pharmacological interventions for the relief of postoperative complications such as pain in patients undergoing laparoscopic cholecystectomy, non-pharmacological applications; It is evaluated that it will be beneficial in increasing patient satisfaction, reducing the need for analgesic drugs, reducing the cost of hospitalization due to the side effects of drugs and increasing the quality of care. With the results of this research, it is evaluated that the effect of positioning, which is one of the independent activities of nurses who base their care on evidence-based practices, on pain will be beneficial to increase the evidence-based nursing knowledge in the literature.

Eligibility criteria: Inclusion Criteria:

* Those who had surgery with laparoscopic cholecystectomy
* Those between the ages of 18-65,
* Patients in ASA I-II group
* Patients undergoing general anesthesia

Exclusion Criteria:

* Epidural analgesia after surgery
* Patients with reactive airway diseases such as chronic obstructive pulmonary disease (COPD), Bronchitis, Emphysema
* Conversion to open abdominal surgery during laparoscopic cholecystectomy

Primary outcomes:
measure: Pain Severity
timeFrame: arrival time at the clinic (approximately the first two hours postoperatively)
measure: Pain Region
timeFrame: arrival time at the clinic (approximately the first two hours postoperatively)
measure: Pain Severity
timeFrame: postoperative 6th hour
measure: Pain Region
timeFrame: postoperative 6th hour
measure: Pain Severity
timeFrame: postoperative 12th hour
measure: Pain Region
timeFrame: postoperative 12th hour
Secondary outcomes:
measure: Use Analgesia
timeFrame: postoperatarrival time at the clinic (approximately the first two hours postoperatively)
measure: Use Analgesia
timeFrame: postoperative 6th hour
measure: Use Analgesia
timeFrame: postoperative 12th hour
Other outcomes:
measure: patient's satisfaction with the given position
timeFrame: postoperative 12th hour
Locations:
city: Ankara
country: Turkey
facility: University of Health Sciences
Study officials:
affiliation: Gulhane Faculty of Nursing, University of Health Sciences, Ankara, Turkey
name: Sibel YILMAZ SAHIN, Asst. Prof.
role: STUDY_CHAIR
References:
citation: Phelps P, Cakmakkaya OS, Apfel CC, Radke OC. A simple clinical maneuver to reduce laparoscopy-induced shoulder pain: a randomized controlled trial. Obstet Gynecol. 2008 May;111(5):1155-60. doi: 10.1097/AOG.0b013e31816e34b4.
citation: Pasquier EK, Andersson E. Pulmonary recruitment maneuver reduces pain after laparoscopic bariatric surgery: a randomized controlled clinical trial. Surg Obes Relat Dis. 2018 Mar;14(3):386-392. doi: 10.1016/j.soard.2017.11.017. Epub 2017 Nov 22.
citation: Aydemir O, Aslan FE, Karabacak U, Akdas O. The Effect of Exaggerated Lithotomy Position on Shoulder Pain after Laparoscopic Cholecystectomy. Pain Manag Nurs. 2018 Dec;19(6):663-670. doi: 10.1016/j.pmn.2018.04.012. Epub 2018 Jun 19.