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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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Pain score at the most painful site. VAS, visual analogue scale; POD, postoperative day. Values are expressed as mean±SE. *P<0.05 compared with group C.
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Figure 3: Pain score at the most painful site. VAS, visual analogue scale; POD, postoperative day. Values are expressed as mean±SE. *P<0.05 compared with group C.

Mentions: The VAS score at the most painful area decreased gradually in the both groups. However, the VAS score at the most painful site was significantly higher in group C than in group L until the third postoperative day. This difference disappeared on seventh postoperative day (Fig. 3).


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)

Pain score at the most painful site. VAS, visual analogue scale; POD, postoperative day. Values are expressed as mean±SE. *P<0.05 compared with group C.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 3: Pain score at the most painful site. VAS, visual analogue scale; POD, postoperative day. Values are expressed as mean±SE. *P<0.05 compared with group C.
Mentions: The VAS score at the most painful area decreased gradually in the both groups. However, the VAS score at the most painful site was significantly higher in group C than in group L until the third postoperative day. This difference disappeared on seventh postoperative day (Fig. 3).

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