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Anaesthesiology Intensive Therapy
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2/2024
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Original article

Evaluation of surgical condition during laparoscopic gynaecological surgery in patients with moderate vs. deep neuromuscular block in low-pressure pneumoperitoneum

Umairah Esa
1
,
Rhendra Hardy Mohamad Zaini
1
,
Mohd Zulfakar Mazlan
1
,
Ahmad Akram Omar
2
,
Sanihah Che Omar
1
,
Anas Rosedi
3

  1. Department of Anaesthesiology and Intensive Care, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia
  2. Department of Obstetrics and Gynaecology, School of Medical Sciences, Health Campus, University of Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia
  3. Department of Community Medicine, School of Medical Sciences, Health Campus, University of Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia
Anaesthesiol Intensive Ther 2024; 56, 2: 121–128
DOI: https://doi.org/10.5114/ait.2024.141209
Online publish date: 2024/07/23
Article file
- Evaluation (14).pdf  [0.15 MB]
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1. Ghezzi F, Uccella S, Cromi A, Siesto G, Serati M, Bogani G, et al. Postoperative pain after laparoscopic and vaginal hysterectomy for benign gynecologic disease: a randomized trial. Am J Obstet Gynecol 2010; 203: 118.e1-118.e8. doi: 10.1016/j.ajog.2010.04.026.
2. Gurusamy KS, Vaughan J, Davidson BR. Low pressure versus standard pressure pneumoperitoneum in laparoscopic cholecystectomy. Cochrane Database Syst Rev 2014; 2014: CD006930. doi: 10.1002/
3. 14651858.CD006930.pub3.
4. Madsen MV, Istre O, Staehr-Rye AK, Springborg HH, Rosenberg J, Lund J, et al. Postoperative shoulder pain after laparoscopic hyste­rectomy with deep neuromuscular blockade and low-pressure pneumoperitoneum. Eur J Anaesthesiol 2016; 33: 341-347. doi: 10.1097/EJA.0000000000000360.
5. Tsai HW, Chen YJ, Ho CM, Hseu SS, Chao KC, Tsai SK, et al. Maneuvers to decrease laparoscopy-induced shoulder and upper abdominal pain: a randomized controlled study. Arch Surg 2011; 146: 1360-1366. doi: 10.1001/archsurg.2011.597.
6. Bogani G, Uccella S, Cromi A, Serati M, Casarin J, Pinelli C, et al. Low vs standard pneumoperitoneum pressure during laparoscopic hysterectomy: prospective randomized trial. J Minim Invasive Gynecol 2014; 21: 466-471. doi: 10.1016/j.jmig.2013.12.091.
7. Kyle EB, Maheux-Lacroix S, Boutin A, Laberge PY, Lemyre M. Low vs standard pressures in gynecologic laparoscopy: a systematic review. JSLS 2016; 20: e2015.00113. doi: 10.4293/JSLS.2015.00113.
8. Donatsky AM, Bjerrum F, Gögenur I. Surgical techniques to minimize shoulder pain after laparoscopic cholecystectomy. A systematic review. Surg Endoscopy 2013; 27: 2275-2282. doi: 10.1007/s00464-012-2759-5.
9. Koo BW, Oh AY, Seo KS, Han JW, Han HS, Yoon YS. Randomized clinical trial of moderate versus deep neuromuscular block for low-pressure pneumoperitoneum during laparoscopic cholecystectomy. World J Surg 2016; 40: 2898-2903. doi: 10.1007/s00268-016-3633-8.
10. Madsen MV, Gätke MR, Springborg HH, Rosenberg J, Lund J, Istre O. Optimising abdominal space with deep neuromuscular blockade in gynaecologic laparoscopy – a randomised, blinded crossover study. Acta Anaesthesiol Scand 2015; 59: 441-447. doi: 10.1111/aas.12493.
11. Dubois PE, Putz L, Jamart J, Marotta ML, Gourdin M, Donnez O. Deep neuromuscular block improves surgical conditions during laparoscopic hysterectomy: a randomised controlled trial. Eur J Anaesthesiol 2014; 31: 430-436. doi: 10.1097/EJA.0000000000000094.
12. Martini CH, Boon M, Bevers RF, Aarts LP, Dahan A. Evaluation of surgical conditions during laparoscopic surgery in patients with moderate vs deep neuromuscular block. Br J Anaesth 2014; 112: 498-505. doi: 10.1093/bja/aet377.
13. Torensma B, Martini CH, Boon M, Olofsen E, Veld BIT, Liem RSL, et al. Deep neuromuscular block improves surgical conditions during bariatric surgery and reduces postoperative pain: a randomized double blind controlled trial. PLoS One 2016; 11: e0167907. doi: 10.1371/journal.pone.0167907.
14. Bogani G, Uccella S, Cromi A, Serati M, Casarin J, Pinelli C, et al. Low vs standard pneumoperitoneum pressure during laparoscopic hysterectomy: prospective randomized trial. J Minim Invasive Gynecol 2014; 21: 466-471. doi: 10.1016/j.jmig.2013.12.091.
15. Topçu HO, Cavkaytar S, Kokanali K, Guzel AI, Islimye M, Doganay M. A prospective randomized trial of postoperative pain following different insufflation pressures during gynecologic laparoscopy. Eur J Obstet Gynecol Reprod Biol 2014; 182: 81-85. doi: 10.1016/j.ejogrb.2014.09.003.
16. Atkinson TM, Giraud GD, Togioka BM, Jones DB, Cigarroa JE. Cardiovascular and ventilatory consequences of laparoscopic surgery. Circulation 2017; 135.
17. Kathopoulis N, Protopapas A, Stamatakis E, Chatzipapas I, Zacharakis D, Grigoriadis T, et al. Deep versus moderate neuromuscular blockade in gynecologic laparoscopic operations: randomized controlled trial. J Pers Med 2022; 12: 700-710. doi: 10.1161/CIRCULATIONAHA.116.023262.
18. Boon M, Martini CH, Aarts LPHJ, Dahan A. The use of surgical rating scales for the evaluation of surgical working conditions during laparoscopic surgery: a scoping review. Surg Endoscopy 2019; 33: 19-25. doi: 10.1007/s00464-018-6424-5.
19. Kang WS, Oh CS, Rhee KY, Kang MH, Kim TH, Lee SH, et al. Deep neuromuscular blockade during spinal surgery reduces intra-operative blood loss: a randomised clinical trial. Eur J Anaesthesiol 2020; 37: 187-195. doi: 10.1097/EJA.0000000000001135.
20. Bruintjes MH, van Helden EV, Braat AE, Dahan A, Scheffer GJ, van Laarhoven CJ, et al. Deep neuromuscular block to optimize surgical space conditions during laparoscopic surgery: a systematic review and meta-analysis. Br J Anaesth 2017; 118: 834-842. doi: 10.1093/bja/aex116.
21. Wei Y, Li J, Sun F, Zhang D, Li M, Zuo Y. Low intra-abdominal pressure and deep neuromuscular blockade laparoscopic surgery and surgical space conditions: a meta-analysis. Medicine (Baltimore) 2020; 99: e19323. doi: 10.1097/MD.0000000000019323.
22. Koo BW, Oh AY, Seo KS, Han JW, Han HS, Yoon YS. Randomized clinical trial of moderate versus deep neuromuscular block for low-pressure pneumoperitoneum during laparoscopic cholecystectomy. World J Surg 2016; 40: 2898-2903. doi: 10.1007/s00268-016-3633-8.
This is an Open Access journal, all articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0). License (http://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
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