IMPACT OF OPERATIVE POSITIONING ON THE DEVELOPMENT OF SHOULDER PAIN AFTER PULMONARY LOBECTOMY BY VATS

Centre de Recherche de l'Institut Universitaire de Cardiologie et de Pneumologie de Quebec134 enrolled

Overview

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.

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Enrollment

134

Conditions

Post-thoracotomy Pain Syndrome

Interventions

positioningOTHER

different positioning prior surgery

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

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

Locations (1)

Institut Universitaire de Cardiologie et de pneumologie de Québec

Québec, Quebec, Canada

RECRUITING

Outcomes

Primary Outcomes

post thoracoscopy shoulder pain measured on the Visual Pain Scale

postoperative shoulder pain measured on the Visual Pain Scale, its precise location on the patient's body will also be assessed

Time frame: from the recovery unit to post-operative day 2

Central Contacts

Geraud Galvaing, MD, MSc

CONTACT

+14186564945 geraud.galvaing@clermont.unicancer.fr

Anne Sophie Laliberté, MD

CONTACT

+14186564945

Data from ClinicalTrials.gov

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