Primary care management of chest pain after coronary artery bypass surgery

Gimpel, Damian; Fisher, Raewyn; Khan, Zahoor Ahmad; McCormack, David

doi:10.1136/bmj.l1303

Cited by 8 publications

(7 citation statements)

References 22 publications

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“…With regard to the experience of pain, it is known to be present since incisions are made in the thorax (sternotomy), the saphenous vein region (saphenectomy), and the places where the monitoring lines and invasive devices are inserted, such as the endotracheal tube and the thoracic tube (5,33,74). In this case, the individual needs to be guided on measures to relieve pain, which can be through intravenous or oral medications, usually opioids and antiinflammatory drugs (75,76).…”

Section: Discussionmentioning

confidence: 99%

Learning Needs and Educational Strategies for Adult Patients in the Preoperative Period of Myocardial Revascularization: Scoping Review

et al. 2022

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Objective: To identify and map learning needs and educational strategies for adult patients in the preoperative period of myocardial revascularization. Materials and method: Scoping review conducted between March and April 2021 in national and international databases to identify records published in scientific journals and gray literature, without period. Results: The selected sample consisted of 35 records, composed mostly of articles (32; 91.42 %) published from 1990 to 2021. The learning needs of patients before surgery were categorized into cardiovascular system and coronary artery disease; procedures and routines before, during, and after surgery. In addition, several educational strategies implemented in the studies were identified. Conclusions: The learning needs identified can contribute to planning and implementing patient-centered educational strategies before surgery.

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Section: Discussionmentioning

confidence: 99%

Learning Needs and Educational Strategies for Adult Patients in the Preoperative Period of Myocardial Revascularization: Scoping Review

et al. 2022

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“…Even relatively simple problems (such as the management of chest pain after coronary artery bypass surgery) are in fact enormously complex for most humans to deal with. 2 The role of clinical decision support in such cases is still uncertain.…”

Section: Clinical Decision Support: What Will Happen In the 2020s?mentioning

confidence: 99%

“…1 The aim is to assist when even relatively simple problems (such as the management of chest pain after coronary artery bypass surgery) are in fact enormously complex for most humans to deal with. 2 Clinical decision support has changed substantially over the past 20 years and no doubt will continue to change in the 2020s. However, it is unclear to what extent it will change and exactly what new directions this field will take.…”

Section: Clinical Decision Support: What Will Happen In the 2020s?mentioning

confidence: 99%

Clinical decision support: what will happen in the 2020s?

Walsh¹,

Wroe²

2020

Postgraduate Medical Journal

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“…CABG is commonly associated with persistent postoperative chest pain, which causes significant discomfort and negatively impacts the patients' quality of life. In follow-up visits, many CABG patients report persistent chest pain upon movement or even when at rest [2,3]. The insertion of chest tubes, surgical incisions, intercostal nerve injuries, and pleura stimulation during thoracotomies, stimulates many nociceptors, resulting in chronic postoperative pain [4].…”

Section: Introductionmentioning

confidence: 99%

Investigation of the Effects of Acupuncture on Post-Operative Chest Pain after Open Heart Surgery

Roshanzamir,

Haririan,

Ghaderpanah

et al. 2023

J Acupunct Meridian Stud

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Background: Coronary artery bypass grafting (CABG) accounts for more than half of all adult cardiac surgeries worldwide. Post-operative chest pain is a common CABG complication and can cause significant discomfort. Objectives: Because taking large amounts of analgesics can have many side effects, we evaluated whether acupuncture effectively reduces pain and the use of analgesics by CABG patients. Methods: In this clinical trial, 30 patients who had recently undergone CABG were randomly allocated to two groups. For both groups, exercise therapy and routine analgesics were recommended. The intervention group underwent bilateral acupuncture in distinct acupoints, including the HT3, HT4, HT5, HT6, HT7, PC3, PC5, PC6, and PC7 for 10 daily sessions constantly. Visual analog scale (VAS) and analgesic use were evaluated in both groups at baseline and after completing the 10-day treatment. Results: Our analysis revealed significant decreases in the mean VAS scores in both the intervention and the control group, and that the reduction was more significant in the acupuncture group (p < 0.001). Moreover, analgesic use was significantly lower in the acupuncture group when compared with the control group (p < 0.001). Conclusion: Our findings highlight acupuncture as an alternative method of controlling CABG-associated post-operative chest pain and reducing the use of analgesics, which might have many side effects.

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Primary care management of chest pain after coronary artery bypass surgery

Cited by 8 publications

References 22 publications

Learning Needs and Educational Strategies for Adult Patients in the Preoperative Period of Myocardial Revascularization: Scoping Review

Learning Needs and Educational Strategies for Adult Patients in the Preoperative Period of Myocardial Revascularization: Scoping Review

Clinical decision support: what will happen in the 2020s?

Investigation of the Effects of Acupuncture on Post-Operative Chest Pain after Open Heart Surgery

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