Condition 1: Postoperative Abdominal Pain After Laparoscopic Cholecystectomy. Condition 2: Postoperative Nausea and Vomiting after Laparoscopic Cholecystectomy. Condition 3: Postoperative Shoulder Pain After Laparoscopic Cholecystectomy.
Conditions
Interventions
Intervention 1: Intervention group one: At the end of the surgery, before the removal of the cannulas and the closure of the incision sites in the abdomen, by changing the reverse Trendelenburg positi
then, by changing the position from Trendelenburg to the supine position, the Pulmonary Recruitment Maneuver for CO2 gas evacuation will be performed with 5 high-volume manual breaths unti
Sponsors
Mazandaran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 60 Years
Inclusion criteria
Inclusion criteria: Patients undergoing elective laparoscopic cholecystectomy who have provided written informed consent Aged 18 to 60 years American Society of Anesthesiologists (ASA) physical status classification of I or II Anticipated surgery duration of less than 2 hours No known history of hypersensitivity to dexamethasone, bupivacaine, or anesthetic agents Body Mass Index (BMI) < 40 kg/m²
Exclusion criteria
Exclusion criteria: Patients unwilling to participate or who decline to provide informed consent Presence of any contraindication to the pulmonary recruitment maneuver History of previous abdominal or shoulder surgery History of opioid use, alcohol consumption, and long-term use of steroidal and non-steroidal anti-inflammatory drugs History of chronic pain unrelated to gallbladder disease Pregnancy or lactation Presence of significant cardiovascular, pulmonary, renal, hepatic, neurological, or psychiatric diseases; diabetes mellitus; or inflammatory conditions of the shoulder
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Abdominal Pain. Timepoint: At 2, 6, 12, 18, 24, and 48 hours postoperatively. Method of measurement: Visual Analog Scale.;Shoulder Pain. Timepoint: At 2, 6, 12, 18, 24, and 48 hours postoperatively. Method of measurement: Visual Analog Scale.;Postoperative Nausea and Vomiting. Timepoint: At 2, 6, 12, 18, 24, and 48 hours postoperatively. Method of measurement: Emesis Score. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMiad Haddadian
Mazandaran University of Medical Sciences
Outcome results
None listed