Acute and Chronic Pain After One-stage Hybrid Arrhythmia Ablation Surgery

Study Overview
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Brief Summary
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After one-stage hybrid arrhythmia ablation surgery there are possible side effects like acute and chronic pain. There is a lot of research surrounding these pains but not specifically after one-stage hybrid arrhythmia ablation surgery. The investigators want to research factors that may be associated with the absence of chronic pain after hybrid ablation include ketamine, peroperative opioids, loco-regional blocks, neuraxial blocks, wound infiltration, postoperative patient-controlled analgesia. The presence of corticosteroids or NSAIDS, will also be evaluated. Furthermore, non-adaptable factors such as genetics complicate the onset of chronic post-operative pain. Taking existing knowledge in this field into account, incidence risk as well as acute pain duration and intensity and their effects on chronic pain will become the primary focus of this study. The investigators will contact all patients who had a one-stage hybrid arrhythmia ablation surgery at UZ Brussels. Participants will be sent a questionnaire with a consent form in and a survey asking about their pain 3 months postop and their current pain management therapy.

Official Title
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Acute and Chronic Pain After One-stage Hybrid Arrhythmia Ablation Surgery: A Study on the Presence of Chronic Pain After Hybrid Ablation and Factors That May be Associated

Conditions
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Arrythmia, Chronic Pain, Acute Pain, Post Operative Pain

Intervention / Treatment
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* Other: Questionnaire


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 18 years of age or older he/she must understand and read the Dutch, French or English language be able to digitally agree to participate in the study had to have a one stage hybrid procedure at least three months ago have an ASA score of I, II or III. Exclusion Criteria: Patients with previously known chronic pain syndromes, fibromyalgia, complex regional pain syndrome are excluded. Subjects with previous known chronic conditions such as diabetes neuropathy, rheumatoid arthri-tis, … are also excluded. Subject are excluded if they underwent a surgical treatment within the observed period. Patients are excluded when under treatment with chemotherapy/radiotherapy Pregnant patients are also excluded. Patients with known psychological conditions such as depression are excluded.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: There are 3 groups. 1 chronic pain, 2 acute pain, 3 no pain
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Chronic pain<br> | Other: Questionnaire<br>* Patients are asked to fill in an online questionnaire concerning their postoperative pain.<br>|
| Other: Acute pain<br> | Other: Questionnaire<br>* Patients are asked to fill in an online questionnaire concerning their postoperative pain.<br>|
| Other: Control group<br> | Other: Questionnaire<br>* Patients are asked to fill in an online questionnaire concerning their postoperative pain.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of patients with acute pain after one stage hybrid ablation. | How many patients have acute pain after surgery | 3 months postop | 
| Number of patients with chronic pain after one stage hybrid ablation. | How many patients have acute pain after surgery | 3 months postop | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Intensity of immediate pain following one stage hybrid ablation | How painful on a numeric pain scale rating of 0 to 10 is the immediate pain post operation? 10 being the worst pain ever felt and 0 being totally painfree. | 3 days | 
| Duration of immediate pain following one stage hybrid ablation | How long does the immediate pain post operation last? | 3 days | 
| Intensity of acute and chronic pain after receiving an advance anesthesiologic pain block. | How painful on a numeric pain scale rating of 0 to 10 is the acute or chronic pain post operation? 10 being the worst pain ever felt and 0 being totally pain free. | 3 months | 
| Intensity of acute and chronic pain after administration of ketamine. | How painful on a numeric pain scale rating of 0 to 10 is the acute or chronic pain post operation? 10 being the worst pain ever felt and 0 being totally pain free. | 3 months | 
| Intensity of acute and chronic pain after treatment with opioids. | How painful on a numeric pain scale rating of 0 to 10 is the acute or chronic pain post operation? 10 being the worst pain ever felt and 0 being totally pain free. | 3 months | 
| Intensity of acute and chronic pain after placing of a thorax drain post operatively. | How painful on a numeric pain scale rating of 0 to 10 is the acute or chronic pain post operation? 10 being the worst pain ever felt and 0 being totally pain free. | 3 months |