About this trial
Pain is a subjective, sensory and emotionally unpleasant experience resulting from real or hidden injuries in tissues. The pain experience is a subjective and unique experience in physiological and psychological terms and is the first negative sensory experience of the patient after the surgical procedure. Thoracotomy is an invasive surgical incision that causes severe postoperative pain due to the negative effect on the ribs, muscles and peripheral nerves. During thoracic surgery, anatomical lung resection is performed through posterolateral thoracotomy. Surgical incision during thoracotomy surgery is the most severe cause of postoperative pain. Epidural analgesia, peripheral nerve block and systematic treatment methods are used in post-thoracotomy pain management. Opioid use is frequently preferred in post-thoracotomy pain management. Although thoracotomy pain can mostly be controlled with opioid analgesics, excessive use of opioids may lead to respiratory suppression, constipation, suppression of cough, nausea, vomiting and many other possible side effects. Ineffective postoperative pain management may lead to postoperative complications such as increased cardiac workload, prolonged pulmonary rehabilitation and delayed wound healing. The use of holistic non-drug pain relief methods is vital in reducing the need for opioid analgesics and the risk of possible side effects in early postoperative pain management.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Underwent thoracotomy
Undergoing thoracic surgery for the first time
Classified as ASA (American Society of Anesthesiology) physical status I, II and III
Presence of a drain upon admission to the intensive care unit
Disqualifiers
Intubated
Persistent anxiety before the surgery
Diagnosed with panic disorder
Chemotherapy within the last 6 months
Trial design
Parallel
Treatments tested in this trial
Acupressure group
Other interventionA series of acupressure applications
Treatment groups
Trial outcomes
Primary outcomes
Pain after thoracotomy
Pain after thoracotomy
Secondary outcomes
Pain during rest
Pain during rest
Other outcomes
Pain during respiratory exercise
Pain during respiratory exercise
Pain during coughing exercise
Pain during coughing exercise
Lung function
Lung function
Total amount of analgesics used
Total amount of analgesics used
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Özgül Aydemir
Lead sponsor
Dogus Universitesi
Sponsor institution
Istanbul University - Cerrahpasa
Collaborator
Dogus Universitesi
Collaborator
Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital
Collaborator
Yeditepe University Hospital
Collaborator