Evaluation of the Effect of Respiratory Relaxation on the Severity of Pain Resulting from the Removal of the Chest Tube After CABG

Abstract

Introduction: Patients admitted to the intensive care unit express the chest tube removal as one of their worst experiences. In spite of scientific advances, no effective action is taken to reduce the pain due to it. Therefore, the aim of this study was to investigate the effect of respiratory relaxation on the severity of pain resulting from the removal of chest tube after coronary artery bypass graft. Methods: This single blind randomized trial was performed in 2016 on 80 patients with open heart surgery with only one mediastinal chest tube. Patients were randomly divided into case and control groups. In the case group, relaxation and relaxation breathing exercises were used for 5 minutes before the tube was exhausted. The severity of pain was measured by visual analog scale before, immediately and 15 minutes after the removal of the chest tube. Data analysis was performed using common tests. Results: The results showed that there was no significant difference between the severity of pain in both groups before the removal of the chest tube (P=0.84). It was also found that there was a significant difference between the severity of pain immediately after the discharge of the tube in the case group (P=0.0001), but there was no significant difference between the intensity of pain 15 minutes after the withdrawal of the tubes in the case and control groups (P=0.21). Conclusion: Respiratory relaxation is an effective technique for the pain intensity of postoperative chest tube after open heart surgery. It is recommended to use this method before tubing, due to lack of cost, ease of use and effectiveness.

Effect of Spiritual Care on Chest Tube Removal Anxiety and Pain in Heart Surgery in Muslim Patients (Shia and Sunni)

“…This is because this tube activates the tapes adhering to the skin, somatic and visceral fibers due to adhesion to surrounding tissues during removal (Mokadem et al., 2017). This finding is in line with the results of other researchers (Ayyasi et al., 2019; Demir & Khorshıd, 2010; Mazloum et al., 2018). In addition, the least pain severity (mild pain) was reported in both groups at the stage prior to chest tube removal.…”

“…Patients who undergo open heart surgery require at least one chest tube in order to facilitate lung expansion and excretion of secretions (Mazloum et al., 2018). Typically, the chest tube is removed 24 to 48 hours after heart surgery when the volume of secretions at 24 hours leads to a discharge lesser than 100–150 cc and the patient’s breathing sounds are normal (Ayyasi et al., 2019; Mazloum et al., 2018). The process of removal of the chest tube can cause a severe and transient pain which is usually considered as one of the worst and most severe experiences for patients undergoing surgery (Mazloum et al., 2018; Mokadem et al., 2017).…”

“…In general, the use of sedatives is the most usual pain control method. Typical sedatives include narcotics and non-steroidal anti-inflammatory drugs (NSAIDs); however, despite their efficacy, these medications may have numerous side effects such as pulmonary problems, hemodynamic changes, nausea, vomiting, urinary retention, itching, and gastrointestinal (GI) bleeding (Ayyasi et al., 2019). Nowadays, the tendency for the use of non-pharmacological methods to relieve pain and anxiety is growing (Bastani et al., 2012; Hatami et al., 2018; Mazloum et al., 2018).…”