دورية أكاديمية
أعرض في EDS

Impact of Surgical Positioning on the Occurrence of Postoperative Ipilateral Shoulder Pain After Lung Resection by Video-Assisted Thoracoscopy: A Randomized Trial.

التفاصيل البيبلوغرافية
العنوان: Impact of Surgical Positioning on the Occurrence of Postoperative Ipilateral Shoulder Pain After Lung Resection by Video-Assisted Thoracoscopy: A Randomized Trial.
المؤلفون: Galvaing G; Institut Universitaire de Cardiologie et de Pneumologie de Québec, Multidisciplinary Department of Pulmonology and Thoracic Surgery, Québec City, Québec, Canada; Jean Perrin Cancer Center, Department of Thoracic and Endocrine Surgery, Clermont-Ferrand, France., Bussières J; Institut Universitaire de Cardiologie et de Pneumologie de Québec, Department of Anesthesiology, Québec City, Québec, Canada., Simard S; Institut Universitaire de Cardiologie et de Pneumologie de Québec, Research Center, Québec City, Québec, Canada., Couture EJ; Institut Universitaire de Cardiologie et de Pneumologie de Québec, Department of Anesthesiology, Québec City, Québec, Canada., Cournoyer C; Institut Universitaire de Cardiologie et de Pneumologie de Québec, Department of Anesthesiology, Québec City, Québec, Canada., Conti M; Institut Universitaire de Cardiologie et de Pneumologie de Québec, Multidisciplinary Department of Pulmonology and Thoracic Surgery, Québec City, Québec, Canada., Lacasse Y; Institut Universitaire de Cardiologie et de Pneumologie de Québec, Multidisciplinary Department of Pulmonology and Thoracic Surgery, Québec City, Québec, Canada., Laliberté AS; Institut Universitaire de Cardiologie et de Pneumologie de Québec, Multidisciplinary Department of Pulmonology and Thoracic Surgery, Québec City, Québec, Canada. Electronic address: anne-sophie.laliberte@outlook.com.
المصدر: Journal of cardiothoracic and vascular anesthesia [J Cardiothorac Vasc Anesth] 2024 May; Vol. 38 (5), pp. 1190-1197. Date of Electronic Publication: 2023 Dec 22.
نوع المنشور: Randomized Controlled Trial; Journal Article
اللغة: English
بيانات الدورية: Publisher: W.B. Saunders Country of Publication: United States NLM ID: 9110208 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-8422 (Electronic) Linking ISSN: 10530770 NLM ISO Abbreviation: J Cardiothorac Vasc Anesth Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Philadelphia, PA : W.B. Saunders, c1991-
مواضيع طبية MeSH: Shoulder Pain*/diagnosis , Shoulder Pain*/epidemiology , Shoulder Pain*/etiology , Analgesics, Opioid*, Humans ; Prospective Studies ; Pain, Postoperative/diagnosis ; Pain, Postoperative/epidemiology ; Pain, Postoperative/etiology ; Lung/surgery ; Pneumonectomy/adverse effects ; Thoracic Surgery, Video-Assisted/adverse effects
مستخلص: Objective: The aim of this study was to evaluate the impact of the ipsilateral arm position on ipsilateral shoulder pain after lung cancer resection by video-assisted thoracic surgery.
Design: A prospective randomized controlled trial.
Setting: A single academic center study.
Participants: Patients undergoing video-assisted thoracic surgery pulmonary resection for cancer at the Institut Universitaire de Cardiologie et de Pneumologie de Québec from May 2020 to May 2022 were included.
Interventions: Patients randomly were assigned with a 1:1 ratio to a supported or suspended ipsilateral arm position.
Measurements and Main Results: Ipsilateral shoulder pain incidence, pain score, and opioid use were recorded in the postanesthesia care unit (PACU) on postoperative days 1 and 2. One hundred thirty-three patients were randomized, 67 in the suspended-arm group and 66 in the supported-arm group. Of the patients, 31% reported ipsilateral shoulder pain in the PACU with no difference between groups (19/67 [28.4%] v 22/66 patients (33.3%), p = 0.5767). There was no significant difference between the pain score in the PACU (3 [0-6] v 4 [0-6], p = 0.9055) at postoperative day 1 (4 [2-6] v 3 [2-5], p = 0.4113) and at postoperative day 2 (2 [0-5] v 2 [1-4], p = 0.9508). Ipsilateral shoulder pain score decreased rapidly on postoperative day 2. There was no statistical difference in opioid and gabapentinoid use between the groups.
Conclusions: Ipsilateral arm position seems to have no impact on ipsilateral shoulder pain.
Competing Interests: Declaration of competing interest None.
(Crown Copyright © 2023. Published by Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: Ipsilateral shoulder pain; Lung resection; Pain after thoracoscopy; Positioning; Postoperative pain; VATS
المشرفين على المادة: 0 (Analgesics, Opioid)
تواريخ الأحداث: Date Created: 20240124 Date Completed: 20240409 Latest Revision: 20240409
رمز التحديث: 20240409
DOI: 10.1053/j.jvca.2023.12.022
PMID: 38267347
قاعدة البيانات: MEDLINE
الوصف
تدمد:1532-8422
DOI:10.1053/j.jvca.2023.12.022