Quality of Postoperative Pain Management Following Thoracic Surgery

NCT01616550 | Completed

• 1 other identifier: DB 2012-001
• Study Type: observational
• Target: 250
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to assess the quality of postoperative pain management in a Canadian teaching hospital following thoracic surgery. Hypothesis: Postoperative pain management following thoracotomy or thoracoscopy is still suboptimal despite the evidence that adequate pain relief improves outcome.

Conditions

Postoperative Pain

Keywords

analgesia; thoracic surgery

Outcome Measures

Primary Outcomes (1)

• Pain relief according to analgesic technique

  From surgery (Day 0) until discharge from the hospital (Day 5)

Secondary Outcomes (9)

• Consumption of analgesics

  From surgery (Day 0) until discharge from the hospital (Day 5)

• Interference of pain on daily activities

  From surgery (Day 0) until discharge from the hospital (Day 5)

• Patient's satisfaction with pain relief

  From surgery (Day 0) until discharge from the hospital (Day 5)

• Nurse's satisfaction with patient's pain relief, mobility and collaboration

  From surgery (Day 0) until discharge from the hospital (Day 5)

• Length of stay in the recovery room

  From arrival (Day 0) until discharge from the recovery room (Day 0)

Study Arms (1)

Patients undergoing thoracic surgery

Assessment of postoperative pain management in patients undergoing elective thoracoscopy or thoracotomy in a teaching hospital

Other: Assessment of pain using the Brief Pain Questionnaire; Other: Assessment of pain relief using a Verbal Numeric Scale (VNS); Other: Assessment of patient' satisfaction with pain relief; Other: Nurse's satisfaction with patient's pain relief and recovery

Interventions

Assessment of pain using the Brief Pain Questionnaire OTHER

Patients will complete this questionnaire daily from surgery until discharge from the hospital

Patients undergoing thoracic surgery

Assessment of pain relief using a Verbal Numeric Scale (VNS) OTHER

Patients will assess their pain daily from surgery until discharge from the hospital using the VNS

Patients undergoing thoracic surgery

Assessment of patient' satisfaction with pain relief OTHER

Will be assessed three times a day using a scale from 1 to 4 (1= very unsatisfied, 4= very satisfied)

Patients undergoing thoracic surgery

Nurse's satisfaction with patient's pain relief and recovery OTHER

Will be assessed three times a day using a scale from 1 to 4 (1= very unsatisfied, 4= very satisfied)

Patients undergoing thoracic surgery

Eligibility Criteria

• Age: 18 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Patients undergoing elective thoracotomy or thoracoscopy in a teaching hospital over a one year period will be considered for this study

You may qualify if:

• Consenting patients aged 18-80 years
• ASA physical status 1-3
• Patients undergoing elective thoracic surgery (thoracotomy/thoracoscopy)

You may not qualify if:

• Current regular use of drugs belonging to the class of opioids
• Presence of a coexisting chronic pain syndrome
• The inability to understand a verbal numeric pain scale (VNS) despite previous instruction
• Patient refusal

Sponsors & Collaborators

• Centre hospitalier de l'Université de Montréal (CHUM): lead

Study Sites (1)

Centre Hospitalier de l'Université de Montréal

Montreal, Quebec, H2L 4M1, Canada

Location

MeSH Terms

Conditions

Pain, Postoperative; Agnosia

Interventions

Analgesia; Salvage Therapy

Condition Hierarchy (Ancestors)

Postoperative Complications; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Pain; Neurologic Manifestations; Signs and Symptoms; Perceptual Disorders; Neurobehavioral Manifestations; Nervous System Diseases

Intervention Hierarchy (Ancestors)

Anesthesia and Analgesia; Therapeutics

Study Officials

• Daniel Boudreault, MD, FRCPC

  Centre hospitalier de l'Université de Montréal (CHUM)

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 7, 2012
• First Posted: June 11, 2012
• Study Start: September 1, 2012
• Primary Completion: September 1, 2013
• Study Completion: September 1, 2013
• Last Updated: September 16, 2013

Record last verified: 2013-09

Locations

CA (1)