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?
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
30
Right before surgery, the patient are posistioned in lateral position with arm elevated (not more than 90 degree from torso). In the intervention, the arm will be lowered and placed in towards the torso for patients enrolled in the experimantal arm.
Oslo University Hospital
Oslo, Norway
Postoperative shoulder pain after lung surgery.
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.
Time frame: 3 months
Pain medication
All extra pain medication patient use after surgery until day 4, type and dose, will be mesaured.
Time frame: 3 months
White blood cell
Mesaured before surgery, and at day 1 and 3 after surgery.
Time frame: 3 months
C reactive protein
Measured before surgery, and at day 1 and 3 after surgery.
Time frame: 3 months
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