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

Post-thoracotomy Pain Syndrome Clinical Trial

— POVA  

Official title:

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

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT04415242
• Other study ID #: 2020-3430, 21919
• Status: Recruiting
• Phase: N/A
• Start date: June 18, 2020
• Est. completion date: March 30, 2021

Study information

• Verified date: July 2020
• Source: Centre de Recherche de l'Institut Universitaire de Cardiologie et de Pneumologie de Quebec
• Contact: Geraud Galvaing, MD, MSc
• Phone: +14186564945
• Email: geraud.galvaing[@]clermont.unicancer.fr
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

Description:

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.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 134
• Est. completion date: March 30, 2021
• Est. primary completion date: December 31, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

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

Related Conditions & MeSH terms

• Post-thoracotomy Pain Syndrome
• Shoulder Pain

Intervention

Other:
• positioning
different positioning prior surgery

Locations

Country	Name	City	State
Canada	Institut Universitaire de Cardiologie et de pneumologie de Québec	Québec	Quebec

Sponsors (1)

Lead Sponsor	Collaborator
Centre de Recherche de l'Institut Universitaire de Cardiologie et de Pneumologie de Quebec

Country where clinical trial is conducted

Canada, 

References & Publications (2)

Barak M, Ziser A, Katz Y. Thoracic epidural local anesthetics are ineffective in alleviating post-thoracotomy ipsilateral shoulder pain. J Cardiothorac Vasc Anesth. 2004 Aug;18(4):458-60. — View Citation

Ip HY, Abrishami A, Peng PW, Wong J, Chung F. Predictors of postoperative pain and analgesic consumption: a qualitative systematic review. Anesthesiology. 2009 Sep;111(3):657-77. doi: 10.1097/ALN.0b013e3181aae87a. Review. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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	from the recovery unit to post-operative day 2