Postoperative Pain Clinical Trial
Official title:
Implementing a Postoperative MIRP (Minimally Invasive Repair of Pectus) Program: Short and Long-term Evaluation of Pain, Nausea, Sleep, and Rehabilitation Via Tele-monitoring
MIRP (Minimally Invasive Repair of Pectus) as surgical correction of pectus excavatum or carinatum is performed to achieve physiological, cosmetic, and psychological benefits for the patient. Surgery is often associated with severe postoperative pain. In this study the researchers want to registrate pain, sleep, nausea/vomiting, and daily activities in short and long term follow up.
In order to provide pain patients with an individualized approach to their pain problem after
MIRP we developed an electronic medical record coupled to a set of telemetric medical-grade
devices. Appi@Home (Antwerp Personalized Pain Initiative) supports an innovative approach to
(sub)acute conditions by offering a platform for continuous follow-up. Patients are provided
with a toolbox and an app that continuously collects objective outcome data (i.e. pain
intensity, sleep quality, physical activity). The integrated system allows the care givers to
respond very quickly to changing clinical conditions of the patient, making a very adaptive
and individualized follow-up possible for these patients. In addition, the patient becomes an
active participant in the global therapeutic approach.
Patients receive the toolbox two week prior to surgery with access to the internet platform
for questionnaires fill-in procedure. Up to ten week after surgery pain intensity, sleep
quality and physical activity will be monitored subjectively by a scoring table (0-10, 0 no
pain-bad sleeping quality-no activity, 10 maximum of pain-excellent sleeping quality- a lot
of activity) and objectively by blood pressure device, oxygen saturation monitoring, activity
tracker and sleep registration tool.
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