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Application of lidocaine jelly on chest tubes to reduce pain caused by drainage catheter after coronary artery bypass surgery.

Kang H, Chung YS, Choe JW, Woo YC, Kim SW, Park SJ, Hong J - J. Korean Med. Sci. (2014)

Bottom Line: The overall VAS score was significantly higher in group C than in group L (39.14±12.49 vs. 27.74±13.76 at extubation, P=0.006).After all of the tubes were removed, the VAS score decreased more in group C (5.74±4.77, P<0.001) than in group L (3.05±2.48, P<0.001).FPB and total fentanyl consumption were significantly higher in group C than in group L (73.00, 59.00-78.00 vs. 34.00, 31.00-39.25, P<0.001; 2,214.65±37.01 vs. 1,720.19±361.63, P<0.001, respectively).

View Article: PubMed Central - PubMed

Affiliation: Heart Research Institute, Chung-Ang University College of Medicine, Seoul, Korea. ; Department of Anesthesiology and Pain Medicine, Chung-Ang University College of Medicine, Seoul, Korea.

ABSTRACT
The objective of this study was to assess the effect of lidocaine jelly application to chest tubes on the intensity and duration of overall pain, chest tube site pain and the required analgesics for postoperative pain relief in coronary artery bypass graft (CABG) patients. For patients in group L, we applied sterile 2% lidocaine jelly on the chest tubes just before insertion, and for patients in group C, we applied normal saline. Overall visual analogue scale (VAS), maximal pain area with their VAS were documented postoperatively, and the frequency that button of patient-controlled analgesia was pressed (FPB) and total fentanyl consumption were assessed. The number of patients who complained that tube site was the most painful site was significantly higher in group C than in group L (85% vs. 30% at extubation, P<0.001). The overall VAS score was significantly higher in group C than in group L (39.14±12.49 vs. 27.74±13.76 at extubation, P=0.006). After all of the tubes were removed, the VAS score decreased more in group C (5.74±4.77, P<0.001) than in group L (3.05±2.48, P<0.001). FPB and total fentanyl consumption were significantly higher in group C than in group L (73.00, 59.00-78.00 vs. 34.00, 31.00-39.25, P<0.001; 2,214.65±37.01 vs. 1,720.19±361.63, P<0.001, respectively). Lidocaine jelly application is a very simple way to reduce postoperative pain by reducing chest tube site pain after CABG. (Clinical Trials Registry No. ACTRN 12611001215910).

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A CONSORT Diagram. IABP, intra-aortic balloon pump.
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Figure 1: A CONSORT Diagram. IABP, intra-aortic balloon pump.

Mentions: Among 50 patients who were asked to be enrolled in the study, five of them declined to participate. Of the 45 patients included, 23 patients were randomized to group C and 22 patients to group L. Three patients were excluded from this study. One of two patients in group C was excluded because of extubation after the first postoperative day morning and the other one was excluded for reoperation. One patient in group L was excluded because of postoperative use of intra-aortic balloon pump (Fig. 1).


Application of lidocaine jelly on chest tubes to reduce pain caused by drainage catheter after coronary artery bypass surgery.

Kang H, Chung YS, Choe JW, Woo YC, Kim SW, Park SJ, Hong J - J. Korean Med. Sci. (2014)

A CONSORT Diagram. IABP, intra-aortic balloon pump.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4214941&req=5

Figure 1: A CONSORT Diagram. IABP, intra-aortic balloon pump.
Mentions: Among 50 patients who were asked to be enrolled in the study, five of them declined to participate. Of the 45 patients included, 23 patients were randomized to group C and 22 patients to group L. Three patients were excluded from this study. One of two patients in group C was excluded because of extubation after the first postoperative day morning and the other one was excluded for reoperation. One patient in group L was excluded because of postoperative use of intra-aortic balloon pump (Fig. 1).

Bottom Line: The overall VAS score was significantly higher in group C than in group L (39.14±12.49 vs. 27.74±13.76 at extubation, P=0.006).After all of the tubes were removed, the VAS score decreased more in group C (5.74±4.77, P<0.001) than in group L (3.05±2.48, P<0.001).FPB and total fentanyl consumption were significantly higher in group C than in group L (73.00, 59.00-78.00 vs. 34.00, 31.00-39.25, P<0.001; 2,214.65±37.01 vs. 1,720.19±361.63, P<0.001, respectively).

View Article: PubMed Central - PubMed

Affiliation: Heart Research Institute, Chung-Ang University College of Medicine, Seoul, Korea. ; Department of Anesthesiology and Pain Medicine, Chung-Ang University College of Medicine, Seoul, Korea.

ABSTRACT
The objective of this study was to assess the effect of lidocaine jelly application to chest tubes on the intensity and duration of overall pain, chest tube site pain and the required analgesics for postoperative pain relief in coronary artery bypass graft (CABG) patients. For patients in group L, we applied sterile 2% lidocaine jelly on the chest tubes just before insertion, and for patients in group C, we applied normal saline. Overall visual analogue scale (VAS), maximal pain area with their VAS were documented postoperatively, and the frequency that button of patient-controlled analgesia was pressed (FPB) and total fentanyl consumption were assessed. The number of patients who complained that tube site was the most painful site was significantly higher in group C than in group L (85% vs. 30% at extubation, P<0.001). The overall VAS score was significantly higher in group C than in group L (39.14±12.49 vs. 27.74±13.76 at extubation, P=0.006). After all of the tubes were removed, the VAS score decreased more in group C (5.74±4.77, P<0.001) than in group L (3.05±2.48, P<0.001). FPB and total fentanyl consumption were significantly higher in group C than in group L (73.00, 59.00-78.00 vs. 34.00, 31.00-39.25, P<0.001; 2,214.65±37.01 vs. 1,720.19±361.63, P<0.001, respectively). Lidocaine jelly application is a very simple way to reduce postoperative pain by reducing chest tube site pain after CABG. (Clinical Trials Registry No. ACTRN 12611001215910).

Show MeSH
Related in: MedlinePlus