Post Cholecystectomy pain
Conditions
Interventions
Study Setting - Surgical professorial unit in North Colombo Teaching hospital, Ragama.
Consecutive, consenting patients who meet inclusion criteria will be sampled.
Patient assessment will comprise of
Sponsors
Colombo North Centre for Liver Diseases, Faculty of Medicine, University of Kelaniya.
Eligibility
Inclusion criteria
Inclusion criteria: 1. All males and females >18 years old who undergo elective laparoscopic cholecystectomy for symptomatic gallstone disease or any other indication.
Exclusion criteria
Exclusion criteria: 1. Patients who undergo emergency laparoscopic cholecystectomy. 2. Those who are having conversion from laparoscopy to open cholecystectomy. 3. Duration of surgery more than 3 hours. 4. Patients who have undergone upper abdominal surgeries previously. 5. Patients with known hearing impairment or usage of a hearing aid. 6. Patients using systemic steroids, immunosuppressants or cytotoxic medications. 7. Patients with chronic pain or on regular analgesics.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Assessment of the intensity of post operative pain will be done using the Numeric Rating Scale (NRS) where where 0 = no pain, scores 1 to 3 = mild pain, 4 to 7 = moderate pain and 8 to 10 = severe pain. [Assessed 2,6,12,18,24 and 36 hours following surgery. ] | — |
Secondary
| Measure | Time frame |
|---|---|
| The requirements for the opioid analgesics (S/C morphine 0.1mg/kg) will be recorded as a total dose. [Assessed after 36 hours.] Post operative Nausea and Vomiting will be assessed by the PONV 4 grade scale Post operative Nausea and Vomiting will be assessed by the PONV 4 grade scale: where 1 = no nausea, 2 = mild nausea, 3 = moderate nausea and 4 = severe nausea. [Assessed at 2,6,12,18,24, and 36 hours following surgery. ] Duration of immobilization: time taken to walk to the washroom after surgery [Assessed at 2,6,12,18,24, and 36 hours following surgery. ] Duration of hospital stay [ At the time of discharge] Overall wellbeing - assessed by GCS and general wellbeing [Assessed at 2,6,12,18,24, and 36 hours following surgery.] Intra-operative vitals (blood pressure and pulse rate). [Recorded at every 30 min intervals by the anesthetic team along with the total opioid requirement will be retrieved using anesthetic charts after completion of the surgery. ] | — |
Countries
Sri Lanka
Contacts
Public ContactProf. Rohan Chaminda Siriwardana
Consultant hepatobiliary surgeon
Outcome results
None listed