Post-thoracotomy Pain Syndrome
Conditions
Keywords
VATS, shoulder pain, pulmonary resection
Brief summary
The investigators want to be able to show a 66% decrease in the incidence of shoulder pain in the support group compared to the suspension group.
Detailed description
The position currently used in cases of pulmonary lobectomies by videothoracoscopy is an extension associated with an abduction of the shoulder on the side operated by suspension of the thoracic limb in a trampoline-type arm support with an angulation of more than 90 ° of the shoulder in the saggital and frontal planes. The investigators wish to prospectively and randomly compare this position currently used in the thoracic surgery service of the IUCPQ with a 2nd position which seems less restrictive for all the joints of the shoulder joint complex in which the patient's arm rests on a support placed in front of the patient's face. It follows from this position of the joint degrees less than or equal to 90 ° in all planes. This new position is not experimental, but not normally used in thoracic surgery at the IUCPQ.
Interventions
OTHERpositioning
different positioning prior surgery
Sponsors
Centre de Recherche de l'Institut Universitaire de Cardiologie et de Pneumologie de Quebec
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Any patient in whom the management of a bronchopulmonary cancer, or his strong suspicion, justifies a bilobectomy, a lobectomy or a segmentectomy by videothoracoscopy.
Exclusion criteria
* surgery extended to the chest wall, including extra-pleural resections, * Pleurectomy, * Chronic pain patient suffering from chronic pain preoperatively, * Fibromyalgia patient, * Chronic taking of analgesic or anti-inflammatory medications during the preoperative period, namely taking at least daily for more than 4 weeks, * Patient with a history of orthopedic surgery of the upper limb ipsilateral to the surgery, * Patient with mechanical limitation of the joint range of the upper limb ipsilateral to surgery, * Non-French speaking patient, * Pregnant woman, * Patient under 18-year-old, * Patient whose BMI is greater than or equal to 35 kg / m2 * Glomerular filtration rate less than \<50 ml / min
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| post thoracoscopy shoulder pain measured on the Visual Pain Scale | from the recovery unit to post-operative day 2 | postoperative shoulder pain measured on the Visual Pain Scale, its precise location on the patient's body will also be assessed |
Countries
Canada
Contacts
Primary ContactGeraud Galvaing, MD, MSc
Backup ContactAnne Sophie Laliberté, MD
Outcome results
None listed