Pain and Multimodal Analgesia in Laparoscopic Cholecystectomy.
Marija Toleska, Aleksandar Dimitrovski, Mirjana Shosholcheva...
https://pubmed.ncbi.nlm.nih.gov/35843915/Actively Recruiting
Led by Mustafa Kemal University · Updated on 2024-09-19
98
Participants Needed
1
Research Sites
13 weeks
Total Duration
Researchers are evaluating the effect of the 4-7-8 breathing technique on shoulder pain and lung function after laparoscopic cholecystectomy, a common surgery for gallbladder removal. This technique is being studied because many patients experience shoulder pain and reduced lung function after surgery, which can affect breathing and recovery. The study will randomly assign 96 patients to either the breathing exercise group or a control group receiving routine care, to compare outcomes. The study group will learn the 4-7-8 breathing technique, which involves controlled breathing cycles, starting about four hours after surgery. They will practice one set of four breaths every two hours, with initial training lasting about 15 minutes. The control group will receive usual care without specific breathing exercise training, though use of a breathing aid is recommended but not monitored. Participants will be monitored for shoulder pain and lung function through tests conducted within the first 24 hours and again at discharge. The study will assess lung volumes and airflow measures to understand breathing recovery. Data will be analyzed statistically. The total duration of participation varies with hospital stay but includes monitoring through the early postoperative period for safety and effectiveness.
CONDITIONS
Effect of 4-7-8 Breathıng Technıque on Shoulder Paın and Respıratory Functıon Tests After Laparoscopıc Cholesectectomy
A
Ayşe Nur SERBEST BAZ
G
Gülay ALTUN UĞRAŞ
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Mustafa Kemal University
Lead Sponsor
Mersin University
Collaborating Sponsor
You may qualify if you...
You will not qualify if you...
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person) before surgery
Duration - Less than 24 hours
Participants undergo laparoscopic cholecystectomy as part of their routine clinical care.
Hospital stay of at least one night after surgery
Duration - From 4 hours after surgery until discharge (typically within 24 hours post-surgery)
Participants in the breathing exercise group learn and perform the 4-7-8 breathing technique starting 4 hours after surgery, performing one set every two hours. Participants in the control group receive routine care without specific breathing exercise training.
Multiple visits for breathing exercise sessions every 2 hours starting 4 hours after surgery until discharge
Duration - Up to 2 days post-surgery
Participants' shoulder pain and pulmonary function are monitored on the second postoperative day to assess recovery and effects of the intervention.
1 visit on the second postoperative day
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
SUPPORTIVE_CARE
Number of Arms
2
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https://pubmed.ncbi.nlm.nih.gov/36480101/Mustafa Kemal University
Lead Sponsor
Mersin University
Collaborating Sponsor