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

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Unpublished questionnaire data collected by the authors' institution (Toronto General Hospital, Toronto, Ontario) indicates that patients often experience significant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