2009
DOI: 10.1590/s0102-76382009000500011
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Comportamento da dor e da função pulmonar em pacientes submetidos à cirurgia cardíaca via esternotomia

Abstract: There was significant impairment of lung function which had not recovered completely on the 5th postoperative day. Pain was a complaint that persisted throughout the study period. The parameters of pulmonary function showed a significant relationship with pain. There was no correlation between pain and the characteristics of individuals, the surgical procedure or the length of hospital stay.

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Cited by 35 publications
(16 citation statements)
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“…There were lower levels of pain from the median sternotomy on the second postoperative day than presented in previous studies [1, 27, 28]. During rest the patients had a median value of less than 1 on NRS, that is, almost no pain and during mobilisation a median value of 3.8 on NRS.…”
Section: Discussionmentioning
confidence: 45%
See 1 more Smart Citation
“…There were lower levels of pain from the median sternotomy on the second postoperative day than presented in previous studies [1, 27, 28]. During rest the patients had a median value of less than 1 on NRS, that is, almost no pain and during mobilisation a median value of 3.8 on NRS.…”
Section: Discussionmentioning
confidence: 45%
“…The effects of the median sternotomy, hypothermia for myocardial protection, dissection of the internal mammary artery, and the use of cardiopulmonary bypass negatively influence lung function [14]. …”
Section: Introductionmentioning
confidence: 99%
“…Some studies confirm the relevance of the history of the patient, the presence of chronic obstructive pulmonary disease, smoking, obesity and age [2,[7][8][9][10]15,16]. They used spirometry to determine the values of forced vital capacity and forced expiratory volume in one second, measurement of maximum inspiratory and expiratory pressures by manometer and cirtometry for obtaining measurements of the circumferences and thoracoabdominal motion [2,7,10,[14][15][16].…”
Section: Reviewmentioning
confidence: 99%
“…The pain is described as chest discomfort of noncardiac origin in up to 65% of cases and can coexist with pain in the upper extremities, neck, head, and midback area [4]. Acute postoperative pain after coronary artery bypass grafting (CABG) surgery adversely affects pulmonary function in the first two postoperative days and can potentially delay extubation and prolong hospital stay [5, 6], thereby adversely affecting patient recovery. Furthermore, acute pain can progress to chronic pain with hypoesthesia and allodynia along the surgical incision.…”
Section: Introductionmentioning
confidence: 99%