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Up to 85% experience shoulder pain after thoracic surgery, especially on the same side as surgery are performed. Referred phrenic nerve pain is probably one cause of ipsilateral shoulder pain (ISP), and positioning of the arm during surgery another. Studies indicates that ISP can be caused by the positioning of the patient during surgery due to muscle -and ligament strain. Can a change in the surgical positioning (less press and stretch) of the ipsilateral arm effect the shoulder pain after thoracic surgery?
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard lateral positioning | No Intervention | ||
| Modified lateral positioning | Experimental | Modified lateral positioning. This will ensure less pressure and stretch on shoulder than standard lateral positioning. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Modified lateral positioning. | Procedure | Right before surgery, the patient are posistioned in lateral position with arm elevated (not more than 90 degree from torso). In the intervention, the arm will be lowered and placed in towards the torso for patients enrolled in the experimantal arm. |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative shoulder pain after lung surgery. | Using visual analog scale for assesing pain in the shoulder (Scale from 0-10). Mesauring times: VAS pain related to the shoulder before surgery, VAS pain shoulder at day 1 and 3 after surgery. Further will Oslo University Hospital scheme for registration of pain for location and characteristic also be used. | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Pain medication | All extra pain medication patient use after surgery until day 4, type and dose, will be mesaured. | 3 months |
| White blood cell | Mesaured before surgery, and at day 1 and 3 after surgery. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Stein O Danielsen | Oslo University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Oslo University Hospital | Oslo | Norway |
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| ID | Term |
|---|---|
| D008175 | Lung Neoplasms |
| ID | Term |
|---|---|
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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|
| 3 months |
| C reactive protein | Measured before surgery, and at day 1 and 3 after surgery. | 3 months |
| D008171 |
| Lung Diseases |
| D012140 | Respiratory Tract Diseases |