Persistent postsurgical pain after video-assisted thoracic surgery--an observational study

Acta Anaesthesiologica Scandinavica
K WildgaardH Kehlet

Abstract

The risk of persistent postsurgical pain (PPP) and subsequent pain-related functional impairment may potentially be reduced by video-assisted thoracic surgery (VATS) compared to thoracotomy. The aim of the study was therefore to assess in detail the incidence and consequences on activities of daily living of PPP after VATS. Using a prospective observational design, 47 patients undergoing VATS completed both preoperative, early postoperative and 3 months follow-up. Preoperative pain, pain characteristics, psychological factors, pain-related functional impairment and quantitative sensory testing (QST) including nociceptive thresholds were compared with postoperative data. Only five (11%) patients developed PPP with NRS > 3 originating from the surgical area. However, about 30% of patients still reported some pain-related functional impairment from the surgical area within four well-defined domains of everyday activities. Psychological and sensory thermal tests did not predict persistent postoperative pain, except preoperative pin-prick sensitivity was higher in patients with PPP. Postoperative pain 7 days after surgery was significantly higher in PPP patients. Preoperative pain originating from remote areas did not predict PPP. T...Continue Reading

References

Jun 8, 2001·European Journal of Pain : EJP·Y GotodaT Koyama
Jun 1, 1961·Archives of General Psychiatry·A T BECKJ ERBAUGH
Apr 4, 2006·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Michael F MaguireJohn P Duffy
May 16, 2006·Lancet·Henrik KehletClifford J Woolf
Aug 2, 2006·Acta Anaesthesiologica Scandinavica·W A PluijmsO H G Wilder-Smith
Oct 7, 2006·Current Medical Research and Opinion·Rainer FreynhagenThomas R Tölle
Dec 7, 2007·The Journal of Pain : Official Journal of the American Pain Society·Robert H DworkinStojan Zavisic
Jul 18, 2008·The Journal of Pain : Official Journal of the American Pain Society·Monique A H SteegersOliver H G Wilder-Smith
Mar 25, 2009·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Kim WildgaardHenrik Kehlet
Sep 15, 2009·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·John R HandyYingxing Wu
Oct 12, 2010·Surgical Endoscopy·Henrik Jessen HansenMerete Christensen
Nov 17, 2010·Acta Anaesthesiologica Scandinavica·K WildgaardH Kehlet
Nov 27, 2010·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Takuro MiyazakiTakeshi Nagayasu
Jun 28, 2011·The Clinical Journal of Pain·Kim WildgaardHenrik Kehlet
Oct 8, 2011·British Journal of Anaesthesia·K WildgaardH Kehlet
Feb 2, 2013·The Clinical Journal of Pain·Thomas K RingstedHenrik Kehlet
Jul 25, 2013·The Cochrane Database of Systematic Reviews·Luis Enrique ChaparroIan Gilron
Feb 21, 2014·British Journal of Anaesthesia·M U Werner, U E Kongsgaard
Jun 28, 2014·The Journal of Pain : Official Journal of the American Pain Society·Emine Ozgur Bayman, Timothy J Brennan

❮ Previous
Next ❯

Citations

Nov 25, 2016·Current Medical Research and Opinion·Ulderico FreoFrancesco Ambrosio
Jan 31, 2018·Drugs·Arnaud Steyaert, Patricia Lavand'homme
May 23, 2019·Scandinavian Journal of Pain·Elisabeth B PowelsonMichele Curatolo
Mar 2, 2017·Anesthesiology·Emine Ozgur BaymanTimothy J Brennan
Dec 28, 2018·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Janet Rodríguez-TorresMarie C Valenza
Oct 13, 2020·The Thoracic and Cardiovascular Surgeon·Valérie LacroixArnaud Steyaert
Nov 17, 2019·Journal of Pain and Symptom Management·Kari Hanne GjeiloTone Rustøen
Jan 21, 2021·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Hossein AmirjamshidiSunil M Prasad
May 19, 2021·Journal of Anesthesia·Christopher W LiuHance Clarke
Mar 30, 2020·Journal of Pain and Symptom Management·Silvia FiorelliDomenico Massullo

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Pain Medicine : the Official Journal of the American Academy of Pain Medicine
Shireen AhmadRobert J McCarthy
Revista española de quimioterapia : publicación oficial de la Sociedad Española de Quimioterapia
Daniel Narcis NanMaría Carmen Fariñas
European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Wilson W L LiAnthony P C Yim
Heart & Lung : the Journal of Critical Care
A RaoR D Brandstetter
© 2022 Meta ULC. All rights reserved