Shoulder pain after thoracotomy and video thoracoscopy, An approaching to this complication: pilot study in La Princesa Hospital.

Texto completo  

Sierra M, Parrado D, Sierra E, Vallejo C, Morales R, Planas A. Shoulder pain after thoracotomy and video thoracoscopy, An approaching to this complication: pilot study in La Princesa Hospital. Eur J Anaest. 2011, 28 Supl 48: 201-202.

Abstract

Background and Goal of Study: The 21-97% of patients undergoing thoracic surgery suf fers ipsilateral shoulder pain in the postoperative1. The objective is to determinate the incidence and characteristics of this pain in the first 24 hours af ter thoracotomy and videothoracoscopys (VATS).

Materials and Methods: Pilot epidemiology descriptive study. 20 patients undergoing thoracic surgery by thoracotomy or VATS were consecutively selected between April and May 2010. Anaesthesia technique followed a protocol. Inclusion criteria: informed consent agreement. Exclusion criteria: Previous ipsilateral shoulder pain, drug abuse, analogic visual scale (VAS) correctly understanding. Measures: Pain at ipsilateral shoulder pain was evaluated by VAS at wake up, 2, 6, 12 and 24 hours at rest, 90° shoulder abduction and cough. Rhythm, intensity and localization were registered at wake up, 12 and 24 hours. Statistical analysis was made using SPSS® v15.0.

Results and Discussion: Patients with ipsilateral shoulder pain at rest at wake up were 45% (VAS mean 2.1; 2.09-2.14 CI95%) and 30% (VAS mean 0.8; 0.63-0.97 CI95%) at 24 h. Mean VAS shoulder pain at rest, shoulder abduction 90° and cough are in graph 1. Although the pain frequency is high the intensity is low. Shoulder pain increase is bigger at cough than at 90° abduction. The size of the population sample limits our results.

Conclusion(s): Ipsilateral shoulder pain is a frequent complication in the thoracic surgery; it is not very intense and is related to movement and cough according to our results.

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