Literature DB >> 24761429

Qualitative assessment of pain management in patients undergoing computed tomography-guided transthoracic lung biopsy.

Erin Thomas Wong, Carol Dunham, Demetris Patsios.   

Abstract

BACKGROUND: Unpublished questionnaire data collected by the authors' institution (Toronto General Hospital, Toronto, Ontario) indicates that patients often experience significant pain while undergoing lung biopsy, yet receive only a fraction of the maximum allowable dosage of analgesic.
OBJECTIVES: To qualitatively assess current pain management practices from the patient perspective. Patient education and patient satisfaction were also evaluated.
METHODS: From March through June 2012, participants were contacted via telephone within one week of their procedure until data saturation was reached. The semistructured interviews were based on a study-specific interview template. Thematic analysis of qualitative study data was used to identify recurring interview topics.
RESULTS: A consecutive sample of 16 outpatients who had undergone image-guided transthoracic lung biopsy at the authors' institution were interviewed. None of the study participants reported noteworthy pain associated with the insertion of lung biopsy needles. The most significant pain was caused by positioning within the computed tomography scanner, particularly among participants who were in the prone position. All participants reported high satisfaction with the amount of analgesic received. Potential complications and recovery period details were identified as areas for improved patient education.
CONCLUSIONS: At the authors' institution, pain associated with lung biopsy needle insertion was well controlled. Positional pain is common for patients required to be in the prone position. Potential solutions include increasing awareness of positional pain and instituting additional supportive equipment.

Entities:  

Mesh:

Year:  2014        PMID: 24761429      PMCID: PMC4158960          DOI: 10.1155/2014/194519

Source DB:  PubMed          Journal:  Pain Res Manag        ISSN: 1203-6765            Impact factor:   3.037


  8 in total

1.  Commentary: the role of anaesthesia in interventional radiology.

Authors:  A F Watkinson; I S Francis; P Torrie; A D Platts
Journal:  Br J Radiol       Date:  2002-02       Impact factor: 3.039

2.  Interventional radiologic procedures: patient anxiety, perception of pain, understanding of procedure, and satisfaction with medication--a prospective study.

Authors:  P R Mueller; S Biswal; E F Halpern; J A Kaufman; M J Lee
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3.  Pain and anxiety during interventional radiologic procedures: effect of patients' state anxiety at baseline and modulation by nonpharmacologic analgesia adjuncts.

Authors:  Christine J Schupp; Kevin Berbaum; Michael Berbaum; Elvira V Lang
Journal:  J Vasc Interv Radiol       Date:  2005-12       Impact factor: 3.464

4.  Population-based risk for complications after transthoracic needle lung biopsy of a pulmonary nodule: an analysis of discharge records.

Authors:  Renda Soylemez Wiener; Lisa M Schwartz; Steven Woloshin; H Gilbert Welch
Journal:  Ann Intern Med       Date:  2011-08-02       Impact factor: 25.391

5.  Patterns, incidence and predictive factors for pain after interventional radiology.

Authors:  A England; C L Tam; D E Thacker; A L Walker; A S Parkinson; W Demello; A J Bradley; J S Tuck; H-U Laasch; J S Butterfield; R J Ashleigh; R E England; D F Martin
Journal:  Clin Radiol       Date:  2005-11       Impact factor: 2.350

Review 6.  Sedation and analgesia in the interventional radiology department.

Authors:  Michael L Martin; Pamela H Lennox
Journal:  J Vasc Interv Radiol       Date:  2003-09       Impact factor: 3.464

7.  Percutaneous CT-guided fine-needle aspiration of pulmonary lesions: Results and complications in 409 patients.

Authors:  F Laspas; A Roussakis; R Efthimiadou; D Papaioannou; S Papadopoulos; J Andreou
Journal:  J Med Imaging Radiat Oncol       Date:  2008-10       Impact factor: 1.735

8.  Percutaneous transthoracic needle aspiration biopsy: a comprehensive review of its current role in the diagnosis and treatment of lung tumors.

Authors:  R C Larscheid; P E Thorpe; W J Scott
Journal:  Chest       Date:  1998-09       Impact factor: 9.410

  8 in total

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