ABSTRACT
This study aimed to investigate the mobility, pain, and disability of the shoulders after different pulmonary surgical procedures.It is a cross-sectional prospective study. A total of 38 patients who underwent lung surgery via thoracotomy (mean ageâ=â57â±â10 years) were evaluated in the preoperative period, and first and second postoperative days were assessed for range of motion of shoulder; pain intensity; and application of the Shoulder Pain and Disability Index questionnaire. This study compared the 3 days of evaluation, and the subgroups according to the resection area (biopsy/nodulectomy, lung segmentectomy and lobectomy).There was a decrease of flexion (153°â±â16°-98°â±â23°), abduction (151°â±â20°-126°â±â38°), and increased Shoulder Pain and Disability Index (2.4-44.3) in the shoulder ipsilateral to surgery from the preoperative to the first postoperative day (Pâ<â0.05). There was a greater loss of ipsilateral flexion and abduction in the lobectomy subgroup (Pâ<â0.05), and decreased abduction of the contralateral shoulder in the lung segmentectomy and lobectomy subgroups (Pâ<â0.05).After pulmonary surgery, there is bilateral impairment in shoulder range of motion, with greater limitation on ipsilateral shoulder, and larger resections.
Subject(s)
Disability Evaluation , Pain, Postoperative/etiology , Pneumonectomy/adverse effects , Range of Motion, Articular/physiology , Shoulder Joint/physiopathology , Shoulder Pain/etiology , Thoracotomy/adverse effects , Adolescent , Adult , Aged , Cross-Sectional Studies , Female , Humans , Male , Middle Aged , Pain, Postoperative/physiopathology , Pain, Postoperative/rehabilitation , Prospective Studies , Shoulder Pain/physiopathology , Shoulder Pain/rehabilitation , Surveys and Questionnaires , Young AdultABSTRACT
A drenagem pleural é procedimento cirúrgico largamente utilizado na prática médica diária, que permite o restabelecimento das pressões negativas no espaço pleural. Apesar de ser considerado ato relativamente simples, poderá levar à graves complicações devido a falta de cuidados que precisam ser respeitados. Procuramos ressaltar alguns aspectos que, se não respeitados no seu conjunto, acabam determinando o insucesso dos procedimentos de drenagem de tórax.
Drainage of pleural fluids, which allows for the reestablishment of negative pressures in the pleural space, is widely employed in routine medical practice. Despite being considered a relatively simple act, it may lead to severe complications if adequate care is not taken. We will highlight some aspects which, if not well tended to, will result in unsuccessful outcome of chest drainage procedures.
