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

Lung Cancer Clinical Trial

Official title:

Lateral Surgical Positioning for Thoracic Surgery -Effect on Ipsilateral Shoulder Pain?

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02149849
• Other study ID #: 2014/406
• Status: Completed
• Phase: N/A
• Start date: August 2014
• Est. completion date: January 2015

Study information

• Verified date: January 2024
• Source: Oslo University Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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?

Recruitment information / eligibility

• Status: Completed
• Enrollment: 30
• Est. completion date: January 2015
• Est. primary completion date: January 2015
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

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

Related Conditions & MeSH terms

• Lung Cancer
• Shoulder Pain

Intervention

Procedure:
• Modified lateral positioning.
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.

Locations

Country	Name	City	State
Norway	Oslo University Hospital	Oslo

Sponsors (1)

Lead Sponsor	Collaborator
Oslo University Hospital

Country where clinical trial is conducted

Norway, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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.	3 months
Secondary	Pain medication	All extra pain medication patient use after surgery until day 4, type and dose, will be mesaured.	3 months
Secondary	White blood cell	Mesaured before surgery, and at day 1 and 3 after surgery.	3 months
Secondary	C reactive protein	Measured before surgery, and at day 1 and 3 after surgery.	3 months