A dor pós-operatória como contribuinte do prejuízo na função pulmonar em pacientes submetidos à cirurgia cardíaca

Giacomazzi, Cristiane Mecca; Lagni, Verlaine Balzan; Monteiro, Mariane Borba

doi:10.1590/s0102-76382006000400008

Cited by 31 publications

(42 citation statements)

References 15 publications

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“…It should be emphasized that, in the present study, only 4 patients (13.3%) did not feel pain during the times evaluated, corroborating another study where a small number of patients did not feel pain during the postoperative period analyzed (4) .…”

Section: Discussionsupporting

confidence: 91%

“…However, in other studies, the intensity of pain considered moderate (4,6,15) and between mild and moderate (16) were the ones most frequently identified. This fact points to the need to consider psycho-emotional aspects and individual beliefs.…”

Section: Discussionmentioning

confidence: 81%

“…In another study, pain was also initially situated in the sternotomy area, subsequently extending to the lower limb associated with the saphenoctomy (4) .…”

Section: Discussionmentioning

confidence: 92%

“…Although pain is frequent after this type of surgery, between 50% and 75% of patients do not receive appropriate analgesic treatment (4) .…”

Section: Introductionmentioning

confidence: 99%

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Avaliação da dor em pós-operatório de cirurgia cardíaca

2010

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Objectives: To evaluate the intensity of pain in patients after cardiac surgery; the study aimed to: 1-identify possible associations between physiological alterations (tachycardia, tachypnea, increased blood pressure, sweating, paleness, nausea and vomiting) and postoperative pain, and 2-describe the used analgesia. Methods: This prospective study evaluated 30 patients in a public teaching hospital, from the immediately postoperative period till the 4th postoperative day. To analyze the data was used the software Statistical Package for Social Sciences. Results: Most (26/86.7%) patients had pain, being 19 (63.3%) in the 1st postoperative day. It was found a predominance of mild pain during all occasions of evaluation. Also was found a correlation (p<0.001) between pain and the presence of physiological alterations, most frequently, tachypnea and increased blood pressure. The analgesia was treated with drugs, being the opiates and simple analgesics the most prescribed. Conclusion: A mild pain was present during all periods which influenced mainly the occurrence of tachypnea and high blood pressure. Only drugs were used for analgesia. Keywords: Postoperative pain; Cardiac surgical procedures; Pain measurement RESUMO Objetivos: Avaliar a intensidade da dor, em pacientes no pós -operatório de cirurgia cardíaca; identificar possíveis associações entre alterações fisiológicas (taquicardia, taquipnéia, elevação da pressão arterial, sudorese, palidez cutânea, náuseas, vômitos) e dor pós-operatória; e descrever a analgesia utilizada. Métodos: Estudo prospectivo que avaliou 30 pacientes de um hospital público de ensino, do pós-operatório imediato ao 4° pós-operatório. Utilizou-se o software Statistical Package for the Social Sciences para análise dos dados. Resultados: A maioria (26 / 86,7%) dos pacientes apresentou dor, sendo 19 (63,3%) no 1º pós-operatório. Verificou-se predominância de dor leve em todos os tempos avaliados. Houve correlação (p<0,001) entre dor e presença de alterações fisiológicas, sendo mais freqüentes, taquipnéia e aumento de pressão arterial. A analgesia utilizada foi medicamentosa, sendo opióides e analgésicos simples os mais prescritos. Conclusão: A dor esteve presente em todos os períodos avaliados, de intensidade leve, e influenciou principalmente na ocorrência de taquipnéia e elevação de pressão arterial. Somente fármacos foram utilizados para analgesia. Descritores: Dor pós-operatória; Procedimentos cirúrgicos cardíacos; Medição da dor RESUMEN Objetivos: Evaluar la intensidad del dolor en pacientes en posoperatorio de cirugía cardíaca; identificar posibles asociaciones entre alteraciones fisiológicas (taquicardia, taquipnea, elevación de la presión arterial, sudoresis, palidez cutánea, náuseas, y vómitos) y dolor posoperatorio; y, describir la analgesia utilizada. Métodos: se trata de estudio prospectivo que evaluó 30 pacientes de un hospital público de enseñanza, en el posoperatorio inmediato y en los cuatro días siguientes. Se utilizó el software Statistical Package for the Social S...

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 81%

“…In another study, pain was also initially situated in the sternotomy area, subsequently extending to the lower limb associated with the saphenoctomy (4) .…”

Section: Discussionmentioning

confidence: 92%

“…Although pain is frequent after this type of surgery, between 50% and 75% of patients do not receive appropriate analgesic treatment (4) .…”

Section: Introductionmentioning

confidence: 99%

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Avaliação da dor em pós-operatório de cirurgia cardíaca

2010

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“…It is believed that factors such as general anesthesia, surgical incision, cardiopulmonary bypass (CPB), ischemia time, intensity of surgical manipulation and number of drains may predispose patients to pulmonary function changes, which are highly relevant on the onset of respiratory complications in cardiac surgery postoperative [3][4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Complicações pulmonares em crianças submetidas à cirurgia cardíaca em um hospital universitário

Borges

Sousa²,

Silva³

et al. 2010

Rev Bras Cir Cardiovasc

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Complicações pulmonares em crianças submetidas à cirurgia cardíaca em um hospital universitárioPulmonary complications in pediatric cardiac surgery at a university hospital Federal Abstract Objective: To identify the prevalence of pulmonary complications in children subjected to cardiac surgery, as well as demographic and clinical characteristics of the studied population.Methods: The sample comprised 37 children of both genders, subjected to cardiac surgery at the Hospital Universitário Presidente Dutra, São Luis (MA), during the year of 2007. Patients who had pre-operative pulmonary disease, patients with neurological disorders, intra-operative death besides lack of data in medical records were not included. The data were obtained from data collection of medical and nursing developments of the respective medical records.Results: The population of the study was predominantly composed by female children, from the countryside and at school age. Pathologies considered as low risk were the majority, highlighting the patent ductus arteriosus, ventricular septal defect and interatrial septal defect. It was observed that most children used cardiopulmonary bypass for over 30 minutes, with a median of 80 minutes, suffered a median sternotomy, using only the mediastinal drain and made use of postoperative mechanical ventilation, with the median of about 6.6 hours. Only 8.1%, in other words, three patients developed pulmonary complications, and of those, two died.Conclusion: Most of the sample children was female, school aged and from the countryside. The low time of cardiopulmonary bypass and mechanical ventilation, in addition to congenital heart diseases with low risk, may have been factors that contributed to the low rate of postoperative pulmonary complications.Descriptors: Congenital Heart Diseases. Surgery. Postoperative Complications.

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Effects of pleasant olfactory mental imagery on the arterial oxygenation in patients with open heart surgery: A randomized controlled trial

Rezaei-Nodehi

Bagheri-Nesami

Shorofi

et al. 2017

Complementary Therapies in Clinical Practice

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A dor pós-operatória como contribuinte do prejuízo na função pulmonar em pacientes submetidos à cirurgia cardíaca

Abstract: A dor pós-operatória como contribuinte do prejuízo na função pulmonar em pacientes submetidos à cirurgia cardíaca

Cited by 31 publications

References 15 publications

Avaliação da dor em pós-operatório de cirurgia cardíaca

Avaliação da dor em pós-operatório de cirurgia cardíaca

Complicações pulmonares em crianças submetidas à cirurgia cardíaca em um hospital universitário

Effects of pleasant olfactory mental imagery on the arterial oxygenation in patients with open heart surgery: A randomized controlled trial

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