Surgical Positioning of the Arm During Thoracic Surgery -Effect on Shoulder Pain After Surgery?

Not Applicable

Completed

• Conditions: Lung Cancer
• Interventions: Procedure: Modified lateral positioning.

• Registration Number: NCT02149849
• Lead Sponsor: Oslo University Hospital

Brief Summary

Up to 85% experience shoulder pain after thoracic surgery, especially on the same side as surgery are performed. Referred phrenic nerve pain is probably one cause of ipsilateral shoulder pain (ISP), and positioning of the arm during surgery another. Studies indicates that ISP can be caused by the positioning of the patient during surgery due to muscle -and ligament strain. Can a change in the surgical positioning (less press and stretch) of the ipsilateral arm effect the shoulder pain after thoracic surgery?

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2014-05-20
• Study First Submitted QC: 2014-05-23
• Study First Posted: 2014-05-29
• Study Start: 2014-08
• Primary Completion: 2015-01
• Study Completion: 2015-01
• Status Verified: 2024-01
• Last Update Submitted: 2024-01-29
• Last Update Posted: 2024-01-30

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

• Men and women;18 years and older
• Thoracotomy for lung cancer
• Video assisted thoracic surgery for lung cancer.

Exclusion Criteria

• Received treatment for shoulder pain
• Use pain medication on regular basis
• Under 18 year
• Length of stay in ICU more than 24 hours after surgery
• Does not understand the native language

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Modified lateral positioning	Modified lateral positioning.	Modified lateral positioning. This will ensure less pressure and stretch on shoulder than standard lateral positioning.

Primary Outcome Measures

Name	Time	Method
Postoperative shoulder pain after lung surgery.	3 months	Using visual analog scale for assesing pain in the shoulder (Scale from 0-10). Mesauring times: VAS pain related to the shoulder before surgery, VAS pain shoulder at day 1 and 3 after surgery. Further will Oslo University Hospital scheme for registration of pain for location and characteristic also be used.

Secondary Outcome Measures

Name	Time	Method
White blood cell	3 months	Mesaured before surgery, and at day 1 and 3 after surgery.
Pain medication	3 months	All extra pain medication patient use after surgery until day 4, type and dose, will be mesaured.
C reactive protein	3 months	Measured before surgery, and at day 1 and 3 after surgery.

Trial Locations

Locations (1)

Oslo University Hospital; 🇳🇴 Oslo, Norway