Gas Removal Techniques for Postoperative Pain

Age: 18+
Sex: Female
Trial Phase: Academic
Sponsor: Henry Ford Health System

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores ways to reduce pain after laparoscopic (minimally invasive) surgery by testing different methods to remove leftover carbon dioxide gas. The trial compares active gas removal using a smoke evacuator, multiple breath recruitment maneuvers (a technique involving breathing maneuvers), and doing nothing specific to remove the gas. The goal is to determine which method best reduces post-surgery pain, decreases the need for pain medication, and accelerates patient recovery. Eligible participants are those scheduled for a non-urgent, minimally invasive surgery unrelated to cancer or chronic pelvic pain. As an unphased trial, this study allows participants to contribute to innovative research that could enhance post-surgical recovery for future patients.

Do I need to stop my current medications for this trial?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

What prior data suggests that these gas removal techniques are safe for reducing postoperative pain?

Studies have shown that using smoke evacuators during surgery can reduce exposure to harmful surgical smoke. One study demonstrated that different smoke management tools were used safely, without any problems. The smoke evacuators improved air quality, enhancing safety for both patients and medical staff.

Clear data from past studies on the safety of multiple breath recruitment maneuvers (special breathing techniques used to clear leftover gas) is lacking. However, these techniques have been used in various medical settings without major safety concerns. The trial's "Not Applicable" phase suggests that safety is likely a priority, even though specific data isn't available.

Overall, the smoke evacuator has proven safe, and the breathing techniques have been used without reported issues. Participants should feel reassured about the general safety of these methods based on available information.12345

Why are researchers excited about this trial?

Researchers are excited about the trial on gas removal techniques for postoperative pain because it explores innovative methods to ease discomfort after surgery. Unlike traditional pain management options that often rely on medications, this trial investigates physical techniques like active gas removal using a smoke evacuator and recruitment breath maneuvers. The smoke evacuator method focuses on quickly removing residual gas from the abdominal cavity, potentially reducing pain faster. Meanwhile, the recruitment breath group uses repeated manual lung inflations to help clear gas, which could offer a non-drug-based way to alleviate postoperative discomfort. These techniques could provide faster relief and reduce reliance on pain medications, offering a fresh approach to managing surgical recovery.

What evidence suggests that this trial's techniques could be effective for reducing postoperative pain?

This trial will compare two techniques for reducing postoperative pain caused by leftover gas from laparoscopic procedures. One group will receive active gas removal via a smoke evacuator. Studies have shown that this method can significantly reduce pain after surgery. Patients who had gas removed this way reported feeling less pain just a few hours after their operation, as it clears out leftover carbon dioxide that can cause discomfort.

Another group will undergo multiple breath recruitment maneuvers. Research suggests these maneuvers can help decrease pain after surgery, with studies finding significant pain reduction at 12, 24, and 48 hours post-operation. This method improves lung function and reduces stress on the body after surgery. Both techniques show promise in reducing pain, and this trial will evaluate their effectiveness compared to a control group.15678

Are You a Good Fit for This Trial?

This trial is for adults aged 18 to 65 who are having planned (elective), non-cancerous laparoscopic surgery. People outside this age range or those not having benign procedures cannot participate.

Inclusion Criteria

I am having a planned, non-cancerous laparoscopic surgery.
I am between 18 and 65 years old.

Exclusion Criteria

I need emergency or urgent surgery.
I am younger than 18 or older than 65 years old.
I have had surgery for chronic pelvic pain or cancer.
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Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants undergo laparoscopic surgery with different interventions for gas removal: smoke evacuation, recruitment breath, or no intervention

Immediate post-surgery
1 visit (in-person)

Follow-up

Participants are monitored for postoperative pain and opioid use

2 weeks
2 visits (in-person or phone call)

What Are the Treatments Tested in This Trial?

Interventions

  • Active Gas Removal via Smoke Evacuator
  • Multiple Breath Recruitment Maneuvers

Trial Overview

The study compares three approaches at the end of laparoscopic surgery: removing leftover gas with a smoke evacuator, using special breathing maneuvers, or doing nothing extra. Patients are randomly assigned to one of these groups without knowing which they get.

How Is the Trial Designed?

3

Treatment groups

Experimental Treatment

Placebo Group

Group I: Smoke Evacuation GroupExperimental Treatment1 Intervention
Group II: Recruitment Breath GroupExperimental Treatment1 Intervention
Group III: Control GroupPlacebo Group1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Henry Ford Health System

Lead Sponsor

Trials
334
Recruited
2,197,000+

Citations

NCT07583433 | Maneuvers to Reduce Laparoscopic Pain

We aim to investigate whether active gas removal via a smoke evacuator, multiple breath recruitment maneuvers, or no intervention would ...

Gas Removal Techniques for Postoperative Pain

The study compares three approaches at the end of laparoscopic surgery: removing leftover gas with a smoke evacuator, using special breathing ...

Recent Advances in Postoperative Pain Management - PMC

It is thought that 40 percent of the administered dose is absorbed in the first hour of treatment and the system reaches 100 percent efficacy in 100 hours.

Performance of intraoperative surgical smoke management ...

It is shown that the efficacy of smoke elimination technologies based on particle removal by evacuation can also be predicted by simple equations.

Performance data

“This study highlights EP as an effective means for capturing and inactivating viral particles in bioaerosols, which may enable continued surgical procedures ...

Surgical smoke and its components, effects, and mitigation

Surgical smoke: Modern mobile smoke evacuation systems improve occupational safety in the operating theatre. Interact. Cardiovasc. Thorac. Surg. 34, 775–782 ...

The perils of surgical smoke in the OR and how Ultravision ...

Exposure to surgical smoke is of increasing concern to healthcare professionals globally and is now generally acknowledged to be a workplace hazard.

insights from a prospective, single-centre comparative study

The three smoke management technologies were operated intraoperatively without complications. The median duration of surgery was (46 ± 11) min.