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Study aim
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Comparison of Saline with Bupivacaine intraperitoneally with Pulmonary Recurrence maneuver on shoulder pain after laparoscopy; A randomized double-blind clinical trial study
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Design
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Randomized clinical trial in individuals aged 20 to 60 years and with inclusion criteria, candidate cholecystectomy laparoscopic be carried out which has randomly divided into two groups of 40 people using block Rndvmyzyshn were divided .
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Settings and conduct
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Anesthesia will be the same in all patients and laparoscopic surgery was performed by a skilled surgeon
In the first group, the end of the operation, in addition to the usual method of venting CO2, normal saline solution heated to 20 cc per kg in supine position can be injected into the abdominal cavity (13). In addition to the serum injection, a pulmonary maneuver was performed by an anesthesiologist.
In the second group, at the beginning, starting with surgery, 50 cc of bupivacaine diluted solution will be injected into the abdomen 25/0 percent of the space. At the end of the operation, a pulmonary recruitment maneuver was performed.
Evaluation of shoulder pain and wound pain by visual analog scale pain gauges at time intervals: recovery, 12, 24 and 48 hours after surgery.
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Participants/Inclusion and exclusion criteria
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Age between 20 and 60 years, grade 1 and 2 physical classification according to the American Anesthesia Association Guideline, no drug addiction, no chronic pain, no anesthesia, history of disease and surgery in Shoulder and chest area and no abdominal surgery, women are not pregnant, no neurological and mental illness
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Intervention groups
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Group two intervention: Saline with Pulmonary Recurrence maneuver and Bupivacaine intraperitoneally with Pulmonary Recurrence maneuver
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Main outcome variables
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the pain
Intraperitoneal injection of saline and bupivacaine
Pulmonary recruitment maneuver