Limits...
Analgesic efficacy of lidocaine and multimodal analgesia for chest tube removal: A randomized trial study.

Pinheiro VF, da Costa JM, Cascudo MM, Pinheiro Êde O, Fernandes MA, de Araujo IB - Rev Lat Am Enfermagem (2015 Nov-Dec)

Bottom Line: The association between independent variables and final outcome was assessed by means of the Chi-squared test with Yates' correction and Fisher's exact test.The groups did not exhibit significant difference with respect to the intensity of pain upon chest tube removal (p= 0.47).The most frequent descriptors of pain reported by the participants were pressing, sharp, pricking, burning and unbearable.

View Article: PubMed Central - PubMed

Affiliation: Departamento de Enfermagem, Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil.

ABSTRACT

Objective: To assess the analgesic efficacy of subcutaneous lidocaine and multimodal analgesia for chest tube removal following heart surgery.

Methods: Sixty volunteers were randomly allocated in two groups; 30 participants in the experimental group were given 1% subcutaneous lidocaine, and 30 controls were given a multimodal analgesia regime comprising systemic anti-inflammatory agents and opioids. The intensity and quality of pain and trait and state anxiety were assessed. The association between independent variables and final outcome was assessed by means of the Chi-squared test with Yates' correction and Fisher's exact test.

Results: The groups did not exhibit significant difference with respect to the intensity of pain upon chest tube removal (p= 0.47). The most frequent descriptors of pain reported by the participants were pressing, sharp, pricking, burning and unbearable.

Conclusion: The present study suggests that the analgesic effect of the subcutaneous administration of 1% lidocaine combined with multimodal analgesia is most efficacious.

No MeSH data available.


Related in: MedlinePlus

- Flow diagram of the study, Natal, RN, Brazil, 2014
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4663998&req=5

f1: - Flow diagram of the study, Natal, RN, Brazil, 2014

Mentions: The inclusion criteria were as follows: age 35 to 75 years old; without prior experienceof chest drainage; to be in the postoperative period after heart surgery with chest tubeinsertion; to provide surgical access through median sternotomy; to provide hemodynamicstability with signs evaluated by bedside monitoring; American Society ofAnesthesiologists (ASA) physical status 2 or 3; and to exhibit appropriate verbalcommunication and understanding to participate in interviews. To assess the latter, theRamsay sedation scale was used(14). This scale scores sedation at six different levels, as follows: 1- anxietyand/or agitation; 2- tranquility, cooperation and orientation; 3- response to commandsonly; 4- brisk response to auditory or painful stimulus; 5- sluggish response toauditory or painful stimulus; and 6- no response. Only individuals at levels ≤ 3 wereincluded. Individuals who declared a wish to withdraw from the study were excluded, aswere individuals who developed postoperative complications, including severe heartand/or respiratory failure and stroke, or who required reoperation from any cause. Figure 1 depicts the flowchart of the studyparticipants.


Analgesic efficacy of lidocaine and multimodal analgesia for chest tube removal: A randomized trial study.

Pinheiro VF, da Costa JM, Cascudo MM, Pinheiro Êde O, Fernandes MA, de Araujo IB - Rev Lat Am Enfermagem (2015 Nov-Dec)

- Flow diagram of the study, Natal, RN, Brazil, 2014
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4663998&req=5

f1: - Flow diagram of the study, Natal, RN, Brazil, 2014
Mentions: The inclusion criteria were as follows: age 35 to 75 years old; without prior experienceof chest drainage; to be in the postoperative period after heart surgery with chest tubeinsertion; to provide surgical access through median sternotomy; to provide hemodynamicstability with signs evaluated by bedside monitoring; American Society ofAnesthesiologists (ASA) physical status 2 or 3; and to exhibit appropriate verbalcommunication and understanding to participate in interviews. To assess the latter, theRamsay sedation scale was used(14). This scale scores sedation at six different levels, as follows: 1- anxietyand/or agitation; 2- tranquility, cooperation and orientation; 3- response to commandsonly; 4- brisk response to auditory or painful stimulus; 5- sluggish response toauditory or painful stimulus; and 6- no response. Only individuals at levels ≤ 3 wereincluded. Individuals who declared a wish to withdraw from the study were excluded, aswere individuals who developed postoperative complications, including severe heartand/or respiratory failure and stroke, or who required reoperation from any cause. Figure 1 depicts the flowchart of the studyparticipants.

Bottom Line: The association between independent variables and final outcome was assessed by means of the Chi-squared test with Yates' correction and Fisher's exact test.The groups did not exhibit significant difference with respect to the intensity of pain upon chest tube removal (p= 0.47).The most frequent descriptors of pain reported by the participants were pressing, sharp, pricking, burning and unbearable.

View Article: PubMed Central - PubMed

Affiliation: Departamento de Enfermagem, Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil.

ABSTRACT

Objective: To assess the analgesic efficacy of subcutaneous lidocaine and multimodal analgesia for chest tube removal following heart surgery.

Methods: Sixty volunteers were randomly allocated in two groups; 30 participants in the experimental group were given 1% subcutaneous lidocaine, and 30 controls were given a multimodal analgesia regime comprising systemic anti-inflammatory agents and opioids. The intensity and quality of pain and trait and state anxiety were assessed. The association between independent variables and final outcome was assessed by means of the Chi-squared test with Yates' correction and Fisher's exact test.

Results: The groups did not exhibit significant difference with respect to the intensity of pain upon chest tube removal (p= 0.47). The most frequent descriptors of pain reported by the participants were pressing, sharp, pricking, burning and unbearable.

Conclusion: The present study suggests that the analgesic effect of the subcutaneous administration of 1% lidocaine combined with multimodal analgesia is most efficacious.

No MeSH data available.


Related in: MedlinePlus