Pain management after cardiac surgery: are we underestimating post sternotomy pain? (original) (raw)

Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 2013

Abstract

Good pain management can improve the outcome of patient care after cardiac surgery. The intensity of pain after cardiac surgery is often underrated. Inadequate pain control can result in increased morbidity and length of hospital stay as well as lead to chronic pain. Therefore, the authors conducted a study to identify the prevalence and risk factors of moderate to severe pain after cardiac surgery including treatment and complication. The present study was prospectively performed in the patients undergoing cardiac surgery with median sternotomy in Siriraj Hospital, a tertiary care center between July 2009 and November 2010. Pain was assessed by numerical rating scale (NRS, 0-10) whilst NRS >4 was defined as moderate to severe pain. Pain score was recorded until 48 hours after surgery. Demographic data, history ofprevious cardiac and non-cardiac surgery, chronic pain history, details of the operation, and intra-and postoperative analgesia were recorded, including complication ofp...

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