Influence of preemptive analgesia on pulmonary function and complications for laparoscopic cholecystectomy.

Digestive Diseases and Sciences
Meral ŞenMikdat Bozer

Abstract

Pain and diaphragmatic dysfunction are the major reasons for postoperative pulmonary complications after upper abdominal surgery. Preoperative administration of analgesics helps to reduce and prevent pain. The objective of this study was first to research the rate of pulmonary complications for laparoscopic cholecystectomy (LC) and then analyze the influence of preemptive analgesia on pulmonary functions and complications. Seventy patients scheduled for elective LC were included in our double-blind, randomized, placebo-controlled, prospective study. Randomly, 35 patients received 1 g etofenamate (group 1) and 35 patients 0.9% saline (group 2) intramuscularly 1 h before surgery. All patients underwent physical examination, chest radiography, lung function tests, and pulse oxygen saturation measurements 2 h before surgery and postoperatively on day 2. Atelectasis was graded as micro, focal, segmental, or lobar. With preemptive analgesia, the need for postoperative analgesia decreased significantly in group 1. In both groups mean spirometric values were reduced significantly after the operation, but the difference and proportional change according to preoperative recordings were found to be similar [29.5 vs. 31.3% reduction in for...Continue Reading

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Citations

May 29, 2015·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Marcelo M SoutoGuilherme F Bassols
May 31, 2018·Revista do Colégio Brasileiro de Cirurgiões·Marisa DE Carvalho BorgesEduardo Crema

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