Skeletonized internal thoracic artery harvesting reduces chest wall dysesthesia after coronary bypass surgery

Markman, Phuong; Rowland, Michael; Leong, Jee-Yoong; Merwe, Johan van der; Storey, Elsdon; Marasco, Silvana; Negri, Justin; Bailey, Michael; Rosenfeldt, Franklin

doi:10.1016/j.jtcvs.2009.03.066

Cited by 28 publications

(18 citation statements)

References 17 publications

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“…The area of acute postoperative sensory dysfunction in our study (either hyper‐ or hypoalgesia, or the sum area of both) did not correlate with PPSP in this study. The results are similar with Markman et al and Boodhwani et al although our study population was larger and that the scope was different . They compared different ITA harvesting techniques .…”

Section: Discussionsupporting

confidence: 91%

Postoperative hyperalgesia does not predict persistent post‐sternotomy pain; observational study based on clinical examination

Setälä

Kalliomäki

Järvelä

et al. 2015

Acta Anaesthesiol Scand

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Section: Discussionsupporting

confidence: 91%

Postoperative hyperalgesia does not predict persistent post‐sternotomy pain; observational study based on clinical examination

Setälä

Kalliomäki

Järvelä

et al. 2015

Acta Anaesthesiol Scand

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“…Follow-up retention rates at 3 and 24 months were 84% and 78%, respectively. The prevalence of persistent postoperative pain decreased significantly over time, from 40.1% at 3 months to 22.1% at 6 months, 16.5% at 12 months and 9.5% at 24 months; the pain was rated as moderate to severe in 3.6% at 24 months. Acute postoperative pain predicted both the presence and severity of persistent postoperative pain.…”

Section: Methodsmentioning

confidence: 91%

“…However, persistent postoperative pain of nonanginal origin has been reported in 7% to 60% of patients following these surgeries. [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23] Such variability is common in other types of major surgery and is due mainly to differences in the definition of persistent postoperative pain, study design, data collection methods and duration of follow-up. [1][2][3]24 Few prospective cohort studies have examined the exact time course of persistent postoperative pain after cardiac surgery, and follow-up has always been limited to a year or less.…”

mentioning

confidence: 99%

Prevalence of and risk factors for persistent postoperative nonanginal pain after cardiac surgery: a 2-year prospective multicentre study

Choinière

Watt‐Watson

Victor

et al. 2014

CMAJ

164

211

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Interpretation: Persistent postoperative pain of nonanginal origin after cardiac surgery affected a substantial proportion of the study population. Future research is needed to determine whether interventions to modify certain risk factors, such as preoperative anxiety and the severity of pain before and immediately after surgery, may help to minimize or prevent persistent postoperative pain. Abstract Research E214CMAJ, April 15, 2014, 186 (7)

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“…Fractured ribs and dislocation of costochondral junction and joint between ribs and spine are not uncommon [2]. Pain is also more common in patients who have LIMA harvesting possibly due to intercostal nerves injury [3].…”

Section: Introductionmentioning

confidence: 99%

A Quality Improvement Survey to Assess Pain Management in Cardiac Surgery Patients

Hamid¹,

Gangwani²,

Akhtar³

2015

OJAnes

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Objective: To evaluate the quality of pain management in cardiac ICU patients by using a questionnaire. Methodology: All post cardiac surgery patients between 18 and 75 years old were included in this survey. Chronic pain patients, paediatric patients, emergency surgeries were excluded. A predesigned proforma was prepared according to American Pain Society recommendations and distributed among Cardiac ICU patients after 24 hours of extubation. This proforma was explained to the patients and collected later. The questionnaire was related to pain severity, aggravating and relieving factors, side effects of analgesics, affective experience and satisfaction with pain management. Results: Total 308 patients participated in one year period. 243 (78.9%) were male and 65 (21.1%) were female. Multimodal analgesia was used in most of the patients. Severity of pain was described as mild 70% and moderate 28.6%. Most of the patients complained of sharp pain 100 (37.5%), mainly at the site of incision 129 (41.9%). The main aggravating factor associated with increased pain was deep breathing 118 (39.8%) while pain was minimized by taking pain medications 40.6%. A significant association was found between preoperative counseling about pain options and satisfaction. 96.8% reported satisfaction with pain management. Conclusion: Although overall pain control was reported as adequate and patients were highly satisfied, there were areas which need further improvement. These include strategies to provide preoperative information about postoperative pain management and better training of medical staff to assess and manage pain. Additionally, the concerns and fears of patients about pain treatment need to be addressed.

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Skeletonized internal thoracic artery harvesting reduces chest wall dysesthesia after coronary bypass surgery

Cited by 28 publications

References 17 publications

Postoperative hyperalgesia does not predict persistent post‐sternotomy pain; observational study based on clinical examination

Postoperative hyperalgesia does not predict persistent post‐sternotomy pain; observational study based on clinical examination

Prevalence of and risk factors for persistent postoperative nonanginal pain after cardiac surgery: a 2-year prospective multicentre study

A Quality Improvement Survey to Assess Pain Management in Cardiac Surgery Patients

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