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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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Overall pain score before and after the tubes removal. VAS, visual analogue scale. Values are expressed as mean±SE. *P<0.05 compared with group C; †P<0.05 compared with before tube removal.
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Figure 4: Overall pain score before and after the tubes removal. VAS, visual analogue scale. Values are expressed as mean±SE. *P<0.05 compared with group C; †P<0.05 compared with before tube removal.

Mentions: There was no difference of day of all the tubes removed in the both groups (2.52 postoperative day in group C, 2.68 postoperative day in group L; P=0.279). Overall VAS score before the tubes removal was significantly higher in group C than in group L. Overall VAS score decreased after all the tubes removal in the both groups. However, the VAS score decreased more in group C and statistical significance in overall VAS score between the groups disappeared after tube removal (Fig. 4).


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)

Overall pain score before and after the tubes removal. VAS, visual analogue scale. Values are expressed as mean±SE. *P<0.05 compared with group C; †P<0.05 compared with before tube removal.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 4: Overall pain score before and after the tubes removal. VAS, visual analogue scale. Values are expressed as mean±SE. *P<0.05 compared with group C; †P<0.05 compared with before tube removal.
Mentions: There was no difference of day of all the tubes removed in the both groups (2.52 postoperative day in group C, 2.68 postoperative day in group L; P=0.279). Overall VAS score before the tubes removal was significantly higher in group C than in group L. Overall VAS score decreased after all the tubes removal in the both groups. However, the VAS score decreased more in group C and statistical significance in overall VAS score between the groups disappeared after tube removal (Fig. 4).

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