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

Pinheiro, Valdecy Ferreira de Oliveira; Costa, J; Cascudo, Marcelo Matos; Pinheiro, Ênio de Oliveira; Fernandes, Maria Angela Ferreira; Araújo, Ivonete Batista de

doi:10.1590/0104-1169.0498.2642

Cited by 6 publications

(2 citation statements)

References 20 publications

(25 reference statements)

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“…In another study [53], patients treated with intravenous fentanyl (2 lg/kg) or sufentanil 0.2 (lg/kg) suffered from significantly lower pain scores than patients treated with 2 ml of normal saline. Finally, a recent randomized controlled study suggests that the combination subcutaneous administration of 1% lidocaine and multimodal analgesia is most efficacious in terms of analgesia [54].…”

Section: Specific Painful Conditionsmentioning

confidence: 99%

Pain in Intensive Care: A Narrative Review

et al. 2022

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All critically ill adult patients in intensive care units (ICU) typically experience pain. Critically ill adults suffer pain of different intensities. It depends on individual characteristics, specific procedural interventions, and underlying diseases. Inadequate management of acute pain is a risk factor for the emergence of chronic pain, where the incidence is up to 33% into the ICU survivor population. For the management of pain, agitation, and delirium, several coexisting clinical practice guidelines have been published. The first problem is that the patient recovered in intensive care unit should not be able to communicate its pain state. Opioids are the analgesic drugs of choice in critically ill patients with non-neuropathic pain. All intravenous opioids have the same effects, respecting the equianalgesic table. Observational research has shown that opioids are the main analgesic treatment in over 80% of mechanically ventilated patients. It is interesting that opioid consumption in an ICU and the memory of painful experience are linked to the development of post-traumatic stress disorder after ICU discharge. In order to reduce the side effects and maintain analgesia, it is useful to associate adjuvant medications with opioids. An opportunity to improve patients' experience in an ICU is to manage pain through multimodal approaches.

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Section: Specific Painful Conditionsmentioning

confidence: 99%

Pain in Intensive Care: A Narrative Review

et al. 2022

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“…In the past few decades, pharmacological methods have been more commonly used to control the pain of CTR 13 – 16 , but recently, guidelines have deemed pharmacological methods alone as insufficient and have recommended the incorporation of non-pharmacological methods 17 . Non-pharmacological methods are often easily accepted and well-received by patients.…”

Section: Introductionmentioning

confidence: 99%

Effects of virtual reality on chest tube removal pain management in patients undergoing coronary artery bypass grafting: a randomized clinical trial

Dalir,

Seddighi,

Esmaily

et al. 2024

Sci Rep

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The pain associated with chest tube removal (CTR) is one of the significant complications of cardiac surgery. The management of this pain is recognized as a vital component of nursing care. The application of distraction techniques using virtual reality (VR) is an effective and straightforward non-pharmacological approach to alleviate pain. This study aimed to determine the impact of VR technology on the management of pain caused by CTR following coronary artery bypass grafting (CABG). This randomized clinical trial was conducted on 70 patients undergoing CABG at Imam Reza and Qaem hospitals in Mashhad, Iran, in 2020. The patients were randomly divided into two groups of 35. For the intervention group, a 360-degree video was played using VR glasses 5 min before the CTR procedure. The pain intensity was measured before, immediately after, and 15 min after CTR, using the Visual Analogue Scale. Also, the Depression Anxiety and Stress Scale-21 (DASS-21), and the Rhoten Fatigue Scale (RFS) were used to evaluate intervention and control groups before the CTR procedure. The collected data was analyzed using statistical tests, such as Chi-square, independent t-test, and Mann–Whitney test. The patients were homogeneous in terms of stress, anxiety, and fatigue levels before CTR, and they did not show any significant differences (P > 0.05). The average pain intensity score of patients in the intervention group significantly decreased immediately and 15 min after CTR, compared to the control group (P < 0.001). Given the positive impact of VR distraction on the severity of pain associated with CTR in patients undergoing CABG, this technique can serve as an effective, accessible, and cost-efficient non-pharmacological approach for managing pain in these patients.Trial registration: This study was registered in the Iranian Registry of Clinical Trials (code: IRCT20190708044147N1; approval date, 08/26/2019).

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The use of cold therapy, music therapy and lidocaine spray for reducing pain and anxiety following chest tube removal

Aktaş

Karabulut

2019

Complementary Therapies in Clinical Practice

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

Cited by 6 publications

References 20 publications

Pain in Intensive Care: A Narrative Review

Pain in Intensive Care: A Narrative Review

Effects of virtual reality on chest tube removal pain management in patients undergoing coronary artery bypass grafting: a randomized clinical trial

The use of cold therapy, music therapy and lidocaine spray for reducing pain and anxiety following chest tube removal

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