The Effectiveness of Intravenous Parecoxib on the Incidence of Ipsilateral Shoulder Pain After Thoracotomy: A Randomized, Double-Blind, Placebo-Controlled Trial

Pipanmekaporn, Tanyong; Punjasawadwong, Yodying; Charuluxananan, Somrat; Lapisatepun, Worakitti; Bunburaphong, Pavena; Boonsri, Settapong; Tantraworasin, Apichat; Bunchungmongkol, Nutchanart

doi:10.1053/j.jvca.2017.05.048

Cited by 16 publications

(16 citation statements)

References 33 publications

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“…Duration of analgesia was longer, and significantly fewer participants required rescue medication over 24 hours with the higher dose. 16 Pipanmekaporn et al 14 reported that the overall incidence of ipsilateral shoulder pain after thoracotomy in their patients decreased from 62% in the placebo group to 42.5% in those receiving parecoxib. Shoulder pain was reported during the first 24 hours after surgery, with its severity decreasing over time.…”

Section: How Well Does the Study Answer The Question?mentioning

confidence: 95%

“…The current issue of this journal contains an article on the treatment of ipsilateral shoulder pain after thoracic surgery titled, "The Effectiveness of Intravenous Parecoxib on the Incidence of Ipsilateral Shoulder Pain After Thoracotomy: A Randomized, Double-Blind, Placebo-Controlled Trial" by Pipanmekaporn et al 14 There are few well-conducted studies that address the problem of ipsilateral shoulder pain after thoracotomy. Intravenous parecoxib, which currently is not available in the United States as previously reported, was used in this study, which was conducted in 1 hospital in Thailand and carried out over 4 years.…”

Section: Summary Of the Studymentioning

confidence: 99%

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Ipsilateral Shoulder Pain After Thoracotomy: Multifactorial in Cause, New Treatment Option

Rao

2018

Journal of Cardiothoracic and Vascular Anesthesia

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Section: How Well Does the Study Answer The Question?mentioning

confidence: 95%

Section: Summary Of the Studymentioning

confidence: 99%

Ipsilateral Shoulder Pain After Thoracotomy: Multifactorial in Cause, New Treatment Option

Rao

2018

Journal of Cardiothoracic and Vascular Anesthesia

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“…On behalf of my coauthors, I would like to thank the editorin-chief for giving us the opportunity to respond to the point raised by Dr. Kendall about the article in press entitled "The effectiveness of intravenous parecoxib on the incidence of ipsilateral shoulder pain after thoracotomy: A randomized, double-blind, placebo-controlled trial." 1 The replies to the comment are listed below.…”

Section: To the Editormentioning

confidence: 99%

Confounding and Adjustment Factors in the Effect of Intravenous Parecoxib on Shoulder Pain after Thoracotomy?

Castro-Alves

Kendall

2018

Journal of Cardiothoracic and Vascular Anesthesia

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We read with great interest the article by Pipanmekaporn et al. 1 in a recent issue of the journal. The authors performed a randomized trial evaluating 160 patients undergoing elective thoracotomy and concluded that intravenous parecoxib significantly reduced the incidence and severity of shoulder pain. The authors should be congratulated for performing a well-designed study on an important topic (eg, acute pain) in patients undergoing cardiothoracic surgery. 2,3 In addition, the renewed interest in the use of intravenous parecoxib to improve postoperative analgesia across many surgical procedures makes the topic timely in perioperative medicine. 4,5 Although the study of Pipanmekaporn et al. was conducted well, there are some concerns regarding the study that need to be clarified to determine the validity of the results. First, it is unclear if the authors standardized the intraoperative anesthetic strategy for these patients as this can affect some of the studied outcomes. 6 Second, it would be expected that postoperative pain would be similar among the groups as the postoperative analgesic treatments were used to keep pain scores acceptable to patients. Lastly, the authors evaluated pain scores across 7 time points (2, 6, 12, 24, 48, 72, and 96 hours) and therefore should have corrected their alpha values to avoid a type I error (Bonferroni correction, p o 0.007). This would have affected some of the authors' conclusions. We would welcome some comments by the authors as this would help to further substantiate the findings of this important randomized clinical trial.

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“…) and post‐thoracotomy shoulder pain (Pipanmekaporn et al. ). According to previous studies, pain severity is high in the immediate post‐operative period (i.e.…”

Section: Introductionmentioning

confidence: 99%

“…For decades, thoracic surgery has been evidenced as the most painful surgical procedure (Montazer et al 2017). Thoracic surgery results in both post-surgical pain (Mesbah et al 2016) and post-thoracotomy shoulder pain (Pipanmekaporn et al 2018). According to previous studies, pain severity is high in the immediate post-operative period (i.e.…”

Section: Introductionmentioning

confidence: 99%

Nurse‐led post‐thoracic surgery pain management programme: its outcomes in a Nigerian Hospital

Odejobi

Maneewat

Chittithavorn

2019

International Nursing Review

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Aim The overarching aim of this study was to investigate the effects of a nurse‐led pain management programme on pain intensity, side effects of treatment, shoulder range of motion and length of stay after thoracic surgery. Background Post‐thoracic surgical pain is a major source of stress and distress for patients. It has profound effects ranging from increased risks in developing chronic post‐thoracic surgery pain to an increased length of stay after surgery. The post‐thoracic surgical pain management in the Nigerian context is based on the traditional approach that is dependent on the attending medical and nursing staff. Methods The study was a quasi‐experimental design (two‐group post‐test only). The study was conducted in a Nigerian hospital. Forty‐two patients were recruited and consecutively assigned into either the usual pain management group or the intervention group after they had met the inclusion criteria. Data were collected utilizing the following: (1) the modified McGill Pain Questionnaire; (2) a Numeric Rating Scale; (3) the documentation form for thoracic surgery pain management outcomes and (4) a goniometer. Results The findings indicated that pain intensity, nausea and drowsiness were significantly reduced among the patients in the experimental group than the control group, while the duration of stay after surgery and the shoulder range of motion were not different between the groups. Conclusion This study's results suggest that the intervention in question for patients undergoing thoracic surgery had a positive effect on reducing pain intensity, nausea and drowsiness but not the shoulder range of motion and length of stay after surgery. Implications for nursing policy Nursing policymakers may need to give a serious consideration to the revision of policies related to the nursing education curriculum as well as the in‐service training curriculum regarding pain management by nurses especially after surgery. Likewise, future research on other populations employing an improved methodology as well as utilizing up‐to‐date evidence by nurses across different hospitals may be necessary.

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The Effectiveness of Intravenous Parecoxib on the Incidence of Ipsilateral Shoulder Pain After Thoracotomy: A Randomized, Double-Blind, Placebo-Controlled Trial

Cited by 16 publications

References 33 publications

Ipsilateral Shoulder Pain After Thoracotomy: Multifactorial in Cause, New Treatment Option

Ipsilateral Shoulder Pain After Thoracotomy: Multifactorial in Cause, New Treatment Option

Confounding and Adjustment Factors in the Effect of Intravenous Parecoxib on Shoulder Pain after Thoracotomy?

Nurse‐led post‐thoracic surgery pain management programme: its outcomes in a Nigerian Hospital

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