Application of Lidocaine Jelly on Chest Tubes to Reduce Pain Caused by Drainage Catheter after Coronary Artery Bypass Surgery.
10.3346/jkms.2014.29.10.1398
- Author:
Hyun KANG
1
;
Yoon Sang CHUNG
;
Ju Won CHOE
;
Young Cheol WOO
;
Sang Wook KIM
;
Soon J PARK
;
Joonhwa HONG
Author Information
1. Heart Research Institute, Chung-Ang University College of Medicine, Seoul, Korea. Joonhwa.hong@gmail.com
- Publication Type:Original Article
- Keywords:
Coronary Artery Bypass;
Pain, Postoperative;
Analgesia
- MeSH:
Adolescent;
Adult;
Aged;
Analgesia, Patient-Controlled;
Anesthetics, Local/*therapeutic use;
Cardiac Catheters/adverse effects;
Chest Tubes/*adverse effects;
Coronary Artery Bypass;
Drainage;
Female;
Fentanyl/therapeutic use;
Humans;
Lidocaine/*therapeutic use;
Male;
Middle Aged;
Pain Management/*methods;
Pain Measurement;
Pain, Postoperative/*drug therapy;
Random Allocation;
Young Adult
- From:Journal of Korean Medical Science
2014;29(10):1398-1403
- CountryRepublic of Korea
- Language:English
-
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)
