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Research Article
Jianxiu Cui
Guangdong Provincial People's Hospital
Corresponding Author
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Background: Indwelling thoracic drainage tube is one of the leading causes of postoperative pain after thoracotomy. Currently, limited evidence exists on evaluating the acute and chronic pain resulting from chest tube after video-assisted thoracic surgery (VATS). Herein, we intended to explore an alternative drainage method and its impact on acute and chronic pain after VATS.
Methods: For this purpose, ninety-two patients undergoing lung wedge resection were selected and randomly assigned to conventional chest tube (CT) group and venous catheter (VC) group, respectively. Then, the numeric rating scale (NRS) and pain DETECT questionnaire were applied to evaluate the level and characteristics of postoperative pain.
Results: Our data showed that the NRS scores of the VC group during hospitalization were significantly lower than those of the CT group 6 hours after surgery, at postoperative day 1, at postoperative day 2, and at the moment of drainage tube removal), respectively. Moreover, the number of postoperative salvage analgesics such as nonsteroidal anti-inflammatory drugs (NSAIDs) used in the VC group and postoperative hospitalization days were notably reduced compared with the CT group. However, no significant difference was observed in terms of NRS pain scores between the two groups of patients during the follow-up for chronic pain at 3 months and 6 months.
Conclusion: Taken together, the drainage strategy mentioned in this article is effective in relieving perioperative acute pain and reducing the use of salvage analgesics in selected patients undergoing VATS wedge resection, which is beneficial for the rapid recovery of patients after surgery.
Trial registration: ClinicalTrials.gov, NCT03230019. Registered July 23, 2017
Keywords
thoracic drainage tube, double lumen central venous catheter, video-assisted thoracic surgery, acute pain, chronic pain
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CURRENT STATUS: Under Review
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Posted 20 Jan, 2021
No community comments so far
Editorial decision: Major revision
On 10 Jun, 2021
Reviews received
Received 26 May, 2021
Reviewers agreed
On 16 May, 2021
Reviews received
Received 22 Apr, 2021
Reviewers agreed
On 12 Apr, 2021
Reviewers invited
Invitations sent on 07 Feb, 2021
Editor assigned
On 07 Feb, 2021
Editor invited
On 18 Jan, 2021
Submission checks complete
On 18 Jan, 2021
First submitted
On 07 Jan, 2021
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Subject Areas
Anesthesiology & Pain Medicine
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A new preprint design is coming!
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This preprint is under consideration at BMC Anesthesiology. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research Article
Jianxiu Cui
Guangdong Provincial People's Hospital
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Review
Version 1
Posted 20 Jan, 2021
No community comments so far
Editorial decision: Major revision
On 10 Jun, 2021
Reviews received
Received 26 May, 2021
Reviewers agreed
On 16 May, 2021
Reviews received
Received 22 Apr, 2021
Reviewers agreed
On 12 Apr, 2021
Reviewers invited
Invitations sent on 07 Feb, 2021
Editor assigned
On 07 Feb, 2021
Editor invited
On 18 Jan, 2021
Submission checks complete
On 18 Jan, 2021
First submitted
On 07 Jan, 2021
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Anesthesiology & Pain Medicine
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Indwelling thoracic drainage tube is one of the leading causes of postoperative pain after thoracotomy. Currently, limited evidence exists on evaluating the acute and chronic pain resulting from chest tube after video-assisted thoracic surgery (VATS). Herein, we intended to explore an alternative drainage method and its impact on acute and chronic pain after VATS.
Methods: For this purpose, ninety-two patients undergoing lung wedge resection were selected and randomly assigned to conventional chest tube (CT) group and venous catheter (VC) group, respectively. Then, the numeric rating scale (NRS) and pain DETECT questionnaire were applied to evaluate the level and characteristics of postoperative pain.
Results: Our data showed that the NRS scores of the VC group during hospitalization were significantly lower than those of the CT group 6 hours after surgery, at postoperative day 1, at postoperative day 2, and at the moment of drainage tube removal), respectively. Moreover, the number of postoperative salvage analgesics such as nonsteroidal anti-inflammatory drugs (NSAIDs) used in the VC group and postoperative hospitalization days were notably reduced compared with the CT group. However, no significant difference was observed in terms of NRS pain scores between the two groups of patients during the follow-up for chronic pain at 3 months and 6 months.
Conclusion: Taken together, the drainage strategy mentioned in this article is effective in relieving perioperative acute pain and reducing the use of salvage analgesics in selected patients undergoing VATS wedge resection, which is beneficial for the rapid recovery of patients after surgery.
Trial registration: ClinicalTrials.gov, NCT03230019. Registered July 23, 2017
Figure 1
Figure 2
The full text of this article is available to read as a PDF.
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