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Does post‐laparoscopy pain relate to residual carbon dioxide?
Author(s) -
Jackson S. A.,
Laurence A. S.,
Hill J. C.
Publication year - 1996
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1996.tb07798.x
Subject(s) - medicine , laparoscopy , diaphragm (acoustics) , gas bubble , bubble , residual , arc (geometry) , residual volume , volume (thermodynamics) , surgery , anesthesia , mechanics , lung volumes , lung , physics , geometry , mathematics , algorithm , quantum mechanics , computer science , acoustics , loudspeaker
Summary We studied 20 day case gynaecological laparoscopy patients, who had an erect chest X ray taken before discharge. Patients were telephoned the next day for a semi‐structured interview. Particular note was made of shoulder tip pain and pain relieved by changing posture. The X ray was analysed for measurements of the length of arc and height of the gas bubble under each hemi‐diaphragm, from which an estimation of bubble volume was also made. We found statistically significant correlations between both the length of arc (p = 0.005) and volume of gas bubble (p = 0.008) on the right side, with the pain score. Residual gas can be a prominent cause of post‐laparoscopy pain.