Literature DB >> 20305922

Does the pain disturb the respiratory function after open heart surgery?

Ana Beatriz Sasseron1, Luciana Castilho de Figueiredo, Kerolin Trova, Andréa Luciana Cardoso, Núbia Maria Freire Vieira Lima, Sarita Colasanto Olmos, Orlando Petrucci.   

Abstract

OBJECTIVE: The post operative pain after open heart surgeries had been often reported. Meager reports about respiratory function and pain correlation had been reported. The aim of this article is to assess the pain intensity and location during hospital admittance and its effect on pulmonary function in patients underwent elective cardiac surgery.
METHODS: Pulmonary function (lung volumes, respiratory pressures and peak expiratory flow) was assessed at the preoperative and post-operative time (1, 3 and 5 days) by ventilometer, manovacuometer and peak flow meter measurements. The assessment of pain intensity was carried out with a visual analogue scale for pain.
RESULTS: The majority of pain site was on sternotomy incision (50% of patients) and the intensity was higher at the first postoperative day (8.32 by visual scale measurement). All pulmonary variables decreased on post-operative time when compared to baseline values. All respiratory variables remained lower than to pre-operative time at fifth postoperative time (P > 0.05), with exception for respiratory rate. The pain and maximal inspiratory pressure showed a negative correlation at the first postoperative day (P = 0.019).
CONCLUSION: Postoperative pain decreased lung function in patients precluding deep inspirations, in special, at the first post-operative day.

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Year:  2009        PMID: 20305922     DOI: 10.1590/s0102-76382009000500010

Source DB:  PubMed          Journal:  Rev Bras Cir Cardiovasc


  13 in total

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Journal:  Intensive Care Med       Date:  2019-01-07       Impact factor: 17.440

4.  Estimation of lung vital capacity before and after coronary artery bypass grafting surgery: a comparison of incentive spirometer and ventilometry.

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Journal:  J Cardiothorac Surg       Date:  2011-05-12       Impact factor: 1.637

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

Authors:  Hyun Kang; Yoon Sang Chung; Ju Won Choe; Young Cheol Woo; Sang Wook Kim; Soon J Park; Joonhwa Hong
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Review 7.  Assessment and pathophysiology of pain in cardiac surgery.

Authors:  Marek Zubrzycki; Andreas Liebold; Christian Skrabal; Helmut Reinelt; Mechthild Ziegler; Ewelina Perdas; Maria Zubrzycka
Journal:  J Pain Res       Date:  2018-08-24       Impact factor: 3.133

8.  Lung Function before and Two Days after Open-Heart Surgery.

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9.  Assessment of pain during rest and during activities in the postoperative period of cardiac surgery.

Authors:  Larissa Coelho de Mello; Silvio Fernando Castro Rosatti; Priscilla Hortense
Journal:  Rev Lat Am Enfermagem       Date:  2014 Jan-Feb

10.  Respiratory muscle strength is not decreased in patients undergoing cardiac surgery.

Authors:  Charlotte Urell; Margareta Emtner; Hans Hedenstrom; Elisabeth Westerdahl
Journal:  J Cardiothorac Surg       Date:  2016-03-31       Impact factor: 1.637

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