Impact of Surgical Positioning on the Occurrence of Postoperative Ipilateral Shoulder Pain After Lung Resection by Video-Assisted Thoracoscopy: A Randomized Trial.
J Cardiothorac Vasc Anesth
; 38(5): 1190-1197, 2024 May.
Article
em En
| MEDLINE
| ID: mdl-38267347
ABSTRACT
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 11 ratio to a supported or suspended ipsilateral arm position. MEASUREMENTS AND MAINRESULTS:
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.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Dor de Ombro
/
Analgésicos Opioides
Tipo de estudo:
Clinical_trials
Limite:
Humans
Idioma:
En
Revista:
J Cardiothorac Vasc Anesth
Assunto da revista:
ANESTESIOLOGIA
/
CARDIOLOGIA
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
França