Cardiothoracic & vascular anaesthesia

Impact of Surgical Positioning on the Occurrence of Postoperative Ipilateral Shoulder Pain After Lung Resection by Video-Assisted Thoracoscopy: A Randomized Trial

J Cardiothorac Vasc AnesthPublished Randomised controlled trial

Authors' conclusion

Ipsilateral arm position seems to have no impact on ipsilateral shoulder pain.

Study context

Population
Patients undergoing video-assisted thoracic surgery pulmonary resection for cancer, Québec, May 2020 to May 2022randomised
Participants
133 patients
Comparison
Suspended vs supported ipsilateral arm position
  • Suspendedn = 67
  • Supportedn = 66reference
Primary endpoint
Ipsilateral shoulder pain incidence
Follow-up
PACU
Methodological detailsprospective, single-centre
  • Prospective
  • Single-centre

Primary result

As reported in the abstract

Overall incidence of ipsilateral shoulder pain in postanesthesia care unit (PACU)

31%

Further findings

OutcomeP value
Ipsilateral shoulder pain score · PACUNo significant differenceP = 0.9055
Ipsilateral shoulder pain score · POD 1No significant differenceP = 0.4113
Ipsilateral shoulder pain score · POD 2No significant differenceP = 0.9508

Ipsilateral shoulder pain score · POD 2

Ipsilateral shoulder pain score decreased rapidly on POD 2

Opioid and gabapentinoid use

No statistical difference between the groups

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Impact of Surgical Positioning on the Occurrence of Postoperative Ipilateral Shoulder Pain After Lung Resection by Video-Assisted Thoracoscopy: A Randomized Trial. J Cardiothorac Vasc Anesth. Published 22 December 2023. doi:10.1053/j.jvca.2023.12.022

Composed by AI from the published abstract and checked against it. How Briefs are made →

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