IMPACT OF OPERATIVE POSITIONING ON THE DEVELOPMENT OF SHOULDER PAIN AFTER PULMONARY LOBECTOMY BY VATS
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 134
- 试验地点
- 2
- 主要终点
- post thoracoscopy shoulder pain measured on the Visual Pain Scale
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Any patient in whom the management of a bronchopulmonary cancer, or his strong suspicion, justifies a bilobectomy, a lobectomy or a segmentectomy by videothoracoscopy.
排除标准
- •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
结局指标
主要结局
post thoracoscopy shoulder pain measured on the Visual Pain Scale
时间窗: 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
次要结局
未报告次要终点
研究者
Geraud Galvaing
MD, MSc
Centre de Recherche de l'Institut Universitaire de Cardiologie et de Pneumologie de Quebec