Postoperative shoulder pain, after lobectomy and pneumonectomy MedDRA version: 14.1 Level: LLT Classification code 10054711 Term: Postoperative pain System Organ Class: 10022117 - Injury, poisoning and procedural complications MedDRA version: 14.1 Level: LLT Classification code 10036236 Term: Postoperative pain relief System Organ Class: 10042613 - Surgical and medical procedures
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients planned for elective lobectomy or pneumonectomy. 2. 18 years or more on the day of the operation. 3. Danish skills appropriate for fulfilling preoperative questionnaires. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 20 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 52
Exclusion criteria
Exclusion criteria: 1. Known contralateral paresis of the Phrenic nerve. 2. Allergy to Ropivacaine or NaCl. 3. Preoperative ipsilateral shoulder pain. 4. Infection or eckzema on the ipsilateral neck. Clinical decision. 5. Dementia or similar cerebral condition that makes the subject unable to perform a NRS-score of pain. Determined by clinical evaluation. 6. Pregnancy. 7. Acute porphyria.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Secondary Objective: Not applicable;Primary end point(s): Number of patients with shoulder pain within 6 hours after the operation.;Timepoint(s) of evaluation of this end point: Retrospektive NRS, 6 hours after the operation.;Main Objective: To test whether blockade of the phrenic nerve can reduce postoperative shoulder pain after lobectomy and pneumonectomy. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): 1. Number of patients with shoulder pain within the first 3 postoperative days. 2. NRS for shoulder pain in the first 3 postoperative days. 3. NRS for overall pain in the first 3 postoperative days 4. Opioid us in the first 3 postoperative days . 5. Time on the recovery room. 6. Shoulder pain after 3 months. 7. NRS for sholder pain after 3 months. 8. Thoracic pain after 3 months. 9. NRS for thoracic pain after 3 months. 10. Opioid use after 3 months. 11. Shoulderfunction after 3 months. ;Timepoint(s) of evaluation of this end point: 1. 3 days after the operation. 2. Retrospective NRS 3 times a day, day 0-3 after the operation. 3. Retrospective NRS 3 times a day, day 0-3 after the operation. 4. Cumulated opiod use, day 0-3 after the operation. 5. Time at discharge from the recovery room. 6. 3 months after the operation. 7. 3 months after the operation. 8. 3 months after the operation. 9. 3 months after the operation. 10. 3 months after the operation. 11. 3 months after the operation. | — |
Countries
Denmark
Contacts
Morten Rune Blichfeldt-Eckhardt