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
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
| Outcome | P value |
|---|---|
| Ipsilateral shoulder pain score · PACUNo significant difference | P = 0.9055 |
| Ipsilateral shoulder pain score · POD 1No significant difference | P = 0.4113 |
| Ipsilateral shoulder pain score · POD 2No significant difference | P = 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
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