The goal of this clinical trial is to evaluate whether different positioning in the operating room during removal of laparoscopic surgical gas differs in post-surgery shoulder pain. An additional goal of this study is to evaluate whether positions change other post-surgery metrics such as bloating, time to passing gas, nausea and vomiting, and time to oral intake. Researchers will compare Trendelenburg positioning where your head is tilted down to supine (level or flat) positioning during removal of surgical gas. Participants will be asked to complete brief surveys at 24 and 72-hours post-surgery.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
DOUBLE
Enrollment
120
Active recruitment breaths delivered to patient by anesthesia provider as opposed to passive evacuation of pneumoperitoneum
Trendelenburg position as opposed to neutral (supine) position
Post-laparoscopy shoulder pain, 24 hour VAS
Post-laparoscopy shoulder pain assessed on a visual analog scale zero to ten with zero representing no pain and ten representing the worst pain of their life.
Time frame: 24 hours post-operatively
Post-laparoscopy shoulder pain, 72 hour VAS
Post-laparoscopy shoulder pain assessed on a visual analog scale zero to ten with zero representing no pain and ten representing the worst pain of their life.
Time frame: 72-hours post-operatively
Pain Interference, 24 hour
Pain interference assessed by PROMIS Pain Interference Short Form 8a questionnaire. A raw score ranges from 8 (least problems with pain hindering activities) to 40 (most problems with pain hindering activities).
Time frame: 24 hours post-operatively
Pain Interference, 72 hour
Pain interference assessed by PROMIS Pain Interference Short Form 8a questionnaire. A raw score ranges from 8 (least problems with pain hindering activities) to 40 (most problems with pain hindering activities).
Time frame: 72 hours post-operatively
Total opioid use, 24 hr
total opioid use measured by MME
Time frame: 24-hours postoperatively
Total opioid use, 72 hr
total opioid use at 72-hr postoperatively measured by total MME
Time frame: 72-hours postoperatively
Time to flatus
Time frame: up to 72-hours postoperatively
Nausea and Vomiting, 24 hour
Rhodes Index of Nausea Vomiting Retching is an 8-item questionnaire with scores ranging from 0 (no symptoms) to 32 (most severe symptoms).
Time frame: 24 hours post-operatively
Nausea and Vomiting, 72 hour
Rhodes Index of Nausea Vomiting Retching is an 8-item questionnaire with scores ranging from 0 (no symptoms) to 32 (most severe symptoms).
Time frame: 72 hours post-operatively
Gas & Bloating, 24 hour
Bloating measured by PROMIS Gas and Bloating 13a questionnaire. The raw summed score ranges from 3 (no symptoms) to 36 (worst reported symptoms).
Time frame: 24 hours post-operatively
Gas & Bloating, 72 hour
Bloating measured by PROMIS Gas and Bloating 13a questionnaire. The raw summed score ranges from 3 (no symptoms) to 36 (worst reported symptoms).
Time frame: 72 hours post-operatively
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