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Table 1 Characteristic of included studies, PRM, pulmonary recruitment maneuver; SI, saline instillation; LC, laparoscopic cholecystectomy; N/A, not applicable

From: Pulmonary recruitment maneuver reduces the intensity of post-laparoscopic shoulder pain: a systematic review and meta-analysis

Author; date

Group

Patient number

Type of operation

CO2 pressure

(mmHg)

PRM Treatment

Kihlstedt PE.; 2021 [16]

Control

PRM (40cmH2O)

71

76

LC

12

During one-minute of pressure-controlled ventilation, the patient received 6 breaths with a total pressure of 40 cm H2O in supine position

Ryu KH.; 2019

[29]

Control

SI

SI + PRM (40cmH2O)

48

48

48

gynecologic surgery

14

5 manual pulmonary hyperinflations using positive inspiratory pressure, each inflation was maintained at an end-inspiratory plateau pressure of 40 cmH2O for 5 s

Lee J.; 2020

[28]

Control

PRM (30cmH2O)

42

42

gynecologic surgery

10

5 manual pulmonary inflations for 5 s with pressure of 30 cm H2O

Kiyak H.; 2019

[34]

Control

PRM (40cmH2O)

PRM + semi-fowler

41

33

32

gynecologic surgery

N/A

5 manual inflations at a maximum pressure of 40cmH2O in the neutral position or semi-fowler position

Davari-Tanha F.; 2019 [25]

Control

PRM (60cmH2O)

70

70

gynecologic surgery

N/A

5 manual pulmonary inflations at a maximum pressure of 60 cm H2O

van Dijk JEW.; 2018 [33]

Control

SI + PRM (40cmH2O)

88

89

gynecologic surgery

14

5 pulmonary insufflations with a pressure 40 cm H2O

Güngördük K.; 2018 [26]

Control

PRM (40cmH2O)

52

54

gynecologic surgery

20

2 manual inflations to a maximum pressure of 40cmH2O, each positive inflation was held for 5s

Ryu K.; 2017

[35]

Control

SI + PRM (40cmH2O)

SI + PRM (60cmH2O)

30

30

29

gynecologic surgery

14

5 manual pulmonary inflations at a maximum pressure of either 40 cmH2O (40cmH2O group) or 60 cmH2O (60 cmH2O group).

Tsai HW.; 2013

[36]

Control

SI + PRM (60cmH2O)

50

50

gynecologic surgery

15

After normal saline instillation, 5 manual pulmonary inflations at a maximum pressure of 60 cm H2O

Khanna A.; 2013

[27]

Control

PRM (60cmH2O)

39

37

LC、hernia

14

2 manual inflations to a maximum pressure of 60cmH2O, each positive pressure inflation for 5 s

Tsai HW.; 2011

[31]

Control

PRM (60cmH2O)

INSI

51

53

54

gynecologic surgery

15

a pulmonary recruitment maneuver consisting of 5 manual pulmonary inflations was performed with a maximal pressure of 60cmH2O.The fifth positive-pressure inflation for 5 s.

Sharami SH.; 2010 [30]

Control

PRM (40cmH2O)

64

67

gynecologic surgery

15

5 manual pulmonary inflation at a positive pressure 40cmH2O, fifth was held for 5s.

Tsai HW.; 2010

[32]

Control

PRM (60cmH2O)

SI

30

40

40

gynecologic surgery

N/A

A pulmonary recruitment maneuver consisting of 5 manual pulmonary inflations was performed with a maximum pressure of 60 cm H2O.

Phelps P.; 2008

[17]

Control

PRM (60cmH2O)

46

54

gynecologic surgery

15

a PRM consisting of 5 manual pulmonary inflations was performed with a maximum pressure of 60 cm H2O, the fifth positive pressure inflation for approximately 5s