The aim of this study is to evaluate whether preoperative CT- guided hookwire localization would influence the incidence and intensity of acute and chronic pain after VATS.
Postoperative pain after thoracic surgery has gained recognition as a adverse outcome and head-scratching problem. The incidence of choric postoperative pain (CPSP) in thoracic surgery has been reported to be 20%-80%. However, there has been not an standard treatment for CPSP. Many study has showed the risk factors of CPSP in thoracic surgery, such as VATS type, operation time, duration of drainage, preoperative pain, repeat surgery, gender, postoperative chemotherapy or radiation therapy , etc. It is important that moderate-to-severe acute postoperative pain will be transformed into CPSP. That offers a new management goal in postoperative pain prevention.CT-guided hookwire localization have been proven to be benefical for VATS to diagnose and treat small pulmonary , it can shorten operation timing and increase surgery success rate. However, it causes roughly 23.8% severe pain and complaints included wire dislodgement, pneumothorax and haemorrhage during and after insertion. The question is whether or not the moderate-to-severe acute postoperative pain from hookwire localition will change the incidence and intensity of CPSP in VATS. Nurses play a pivotal role in advanced practice, research, and education in the field of pain management. The pain management of hookwire localization may be a new vison in further research.
Study Type
OBSERVATIONAL
Enrollment
161
Patients were performed CT -guided hook wire localization(20G×120mm, PAJUNK medizintechnologie, Geisingen in Germany). patients were placed on a CT table in a suitable position(supine, prone, lateral) to obtain the shortest needle insertion route for their initial CT scan. Local anesthesia of the skin and planned puncture tract was performed using 10ml Lidocaine 1%. Next, the needle was inserted into or near the pulmonary nodule.
270 Dongan Road, Fudan University Shanghai Cancer Center
Shanghai, China
postoperative incidence and intensity of chronic pain after surgery
the incidence and severity（11-point numerical rating scale,0=painless, 10=woest pain）of pain was assessed after VATS operation
Time frame: at postoperative 3rd month
postoperative incidence and intensity of chronic pain after surgery
the incidence and severity（11-point numerical rating scale, 0=painless, 10=worst pain）of pain was assessed after VATS operation
Time frame: at postoperative 6th month
postoperative length of stay in hospital
the days between postoperative 1st day and day of discharge from hospital
Time frame: an average of 1 week
satisfactory score
Likert score (from 1 to 5),higher scores mean a better outcome
Time frame: from the day discharge from hospital to postoperative 6th month
intensity of postoperative acute pain
the severity(11-point numerical rating scale, 0=no pain, 10=worst pain) after VATS operation
Time frame: from immediately after surgery(at postanesthesia care unit ) to postoperative 2nd day
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