No abstract

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...

No abstract

Dor, alterações fisiológicas e analgesia nos pacientes submetidos a cirurgias de médio portePain, physiological alterations and analgesia in patients submitted to medium-sized surgeries Dolor, alteraciones fisiológicas y analgesia en pacientes sometidos a cirugías de mediana complejidad

Background Preoperative anxiety and postoperative pain are frequent in cardiac surgeries and constitute important stressors for patients, which can cause several complications. One strategy that aims to alleviate these phenomena is listening to music as a non-pharmacological intervention. The aim of this study is to evaluate the effect of listening to music on preoperative state-anxiety, postoperative pain, at rest and when instructed to cough, and cardiorespiratory parameters in patients undergoing cardiac surgery. Methods A randomized, parallel, simple masking clinical trial will be conducted with patients 18 years of age or older who have undergone elective cardiac surgery by sternotomy, who agree to participate in the research and sign a free and informed consent form. Study participants will be randomly divided, in a 1:1 ratio, to one of the two groups: experimental (subjected to listening to music for 20 min in the pre- and postoperative period) or control (standard care in the pre- and postoperative period), using a randomization scheme generated by the Randomization.com website. The sample size calculation was obtained after conducting a pilot study. Discussion The results of the study may contribute to the implementation of non-pharmacological interventions in health services, highlighting the protocols for listening to music, to minimize anxiety and pain in cardiac surgery. Trial registration ReBEC RBR-8mdyhd. Posted on December 10, 2019