BACKGROUND: Unpublished questionnaire data collected by the authors’ institution (Toronto General Hospital, Toronto, Ontario) indicates that patients often experience significant pain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.

中文翻译：

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接受计算机断层扫描引导的经胸肺活检的患者疼痛管理的定性评估

背景：作者机构（多伦多安大略省多伦多总医院）收集的未发表的调查表数据表明，患者在进行肺活检时经常会出现明显的疼痛，而仅获得最大允许镇痛剂量的一小部分。目的：定性评估从患者角度来看当前的疼痛管理实践。方法：从2012年3月至2012年6月，在手术的一周内通过电话与参与者联系，直到数据饱和为止。半结构化访谈基于特定于研究的访谈模板。定性研究数据的主题分析用于确定重复的访谈主题。对在作者所在机构接受了影像引导的经胸肺活检的16位门诊患者进行了连续抽样。没有研究参与者报告与肺活检针插入相关的明显疼痛。最严重的疼痛是由计算机断层扫描仪内的位置引起的，尤其是俯卧位的参与者。所有参与者均对收到的止痛药感到高度满意。潜在的并发症和恢复期的详细信息被确定为可以改善患者教育的领域。结论：在作者所在的机构，与肺活检针插入相关的疼痛得到了很好的控制。位置疼痛对于需要俯卧的患者很常见。