Evaluating Intraoperative Ketamine to Reduce Shoulder Pain After Laparoscopic Gastric Sleeve Surgery

What this Trial Is About

This research focuses on shoulder pain that often occurs after laparoscopic gastric sleeve surgery, a common procedure for managing obesity. The study aims to compare the effects of an anesthetic plan that includes ketamine to one that does not, in order to see how they influence the incidence and severity of shoulder pain following surgery. Shoulder pain after laparoscopy is a frequent and sometimes long-lasting issue, thought to be caused by irritation of the diaphragm and nerves during the procedure. Participants will be assigned to one of two groups one will receive an intraoperative intravenous ketamine infusion at a dose of 0.3 mg per kilogram per hour as part of their anesthetic management, while the other group will not receive ketamine. The study compares these two approaches to see if ketamine reduces shoulder pain after surgery. The trial is randomized and uses quadruple masking to ensure unbiased results. During the study, participants will be monitored for pain levels using the Visual Analog Scale VAS and the COMFORT scale over a period of six months. Researchers will also observe recovery duration, hospital stay length, post-operative pain medication needs, side effects from ketamine, and nausea or vomiting after surgery. The total follow-up period extends to six months to assess these outcomes thoroughly.

Ketamine for Shoulder Pain Following Laparoscopic Gastric Sleeve Surgery