Pain Management Following Thoracic Surgery

Sungur, Mukadder Orhan; Şentürk, Mert

doi:10.1007/978-3-319-19908-5_17

Cited by 3 publications

(13 citation statements)

References 79 publications

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“…Post-thoracic surgery pain has a complex mechanism that mostly occurs due to nociceptive and neuropathic signals that originate from somatic and visceral afferents [8]. Nociceptors are stimulated by the skin incision, muscle retraction, rib retraction, stretched ligaments, costochondral joint dislocation, and intercostal nerves injury [9][10][11].…”

Section: Postoperative Pain After Thoracic Surgerymentioning

confidence: 99%

“…The ipsilateral dorsal horn of the spinal cord (T4-T10) receives nociceptive somatic signals after a surgical trauma (incision, retraction, etc.) to the thoracic area [8,11]. Then, the afferents are transmitted to the limbic system and somatosensory cortices through the contralateral anterolateral system.…”

Section: Postoperative Pain After Thoracic Surgerymentioning

confidence: 99%

“…Furthermore, noxious stimuli as afferent impulses resulting from visceral pleura irritation are referred to the ipsilateral shoulder by the phrenic nerves and become the major cause of ipsilateral shoulder pain after thoracic surgical procedures or postthoracotomy shoulder pain [9][10][11]. Additionally, pain development is exaggerated by brachial plexus stretching and posterior thoracic ligaments distraction [11,13].…”

Section: Postoperative Pain After Thoracic Surgerymentioning

confidence: 99%

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Non-Pharmacological Management of Acute Pain after Breast and Thoracic Surgery

Tola¹,

Chow²,

Liang³

et al. 2023

Topics in Postoperative Pain

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Pain after thoracic and breast surgery is a common phenomenon, and it is usually influenced by various factors including surgical, patient, and cultural factors. However, the pain that patients who have undergone breast or thoracic surgery experience has either been overlooked, undermanaged, or managed solely with pharmacotherapy by healthcare providers. This oftentimes result in impacting the patients’ recovery process and even quality of life. Literature has identified that inadequate pain management after breast and thoracic surgery and the resultant side effects of pharmacological therapies can be reduced by including non-pharmacological interventions into patients’ care plan. Some of the recommended interventions include music, massage, aromatherapy, cold therapy, meditation, acupuncture, and transcutaneous electrical nerve stimulation. Most of these non-pharmacological therapies are easy to use, promote patients’ involvement in their own care, have no or minimal side effect, and are cost-effective. Therefore, it is essential for healthcare providers to include non-pharmacological pain management in the plan of care even before surgery.

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Section: Postoperative Pain After Thoracic Surgerymentioning

confidence: 99%

Section: Postoperative Pain After Thoracic Surgerymentioning

confidence: 99%

Section: Postoperative Pain After Thoracic Surgerymentioning

confidence: 99%

See 1 more Smart Citation

Non-Pharmacological Management of Acute Pain after Breast and Thoracic Surgery

Tola¹,

Chow²,

Liang³

et al. 2023

Topics in Postoperative Pain

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“…If postoperative pain is not properly managed, it results in physiological impacts and causes psychological anxiety and fear, leading to prolonged hospitalization in addition to decreases in overall comfort (Imani, 2011) and postoperative quality of life (Gan, 2017;Sinatra, 2010). Inappropriate postoperative pain management may lead to postoperative complications, such as increased cardiac workload, prolonged pulmonary rehabilitation, and delayed wound healing in patients (Sungur & Şentürk, 2017). In addition, analgesic drug expenditure has increased (Homma et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of acupressure for managing postoperative pain in patients with thoracoscopic surgery: A randomized control trial.

Hsu

Fang

Kuo

et al. 2021

J of Nursing Scholarship

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Purpose More than 86% patients experience moderate to severe pain after thoracoscopic surgery. A combination of diverse nonpharmacological pain relief methods is a developing trend for pain management. The purpose of this study was to explore the effect of acupressure in reducing pain after thoracoscopic surgery. Design A Randomized controlled study with purpose sampling was used for this study. Patients who underwent thoracoscopic surgery at a medical center in central Taiwan were enrolled. Study data was collected from September 2020 to April 2021 after the approval of the institutional review board. A total of 100 participants were randomized into two groups (49 and 51 in the experimental and control groups, respectively). Methods Participants in the experimental group received acupressure at the Neiguan (PC6) and Shenmen (HT7) acupoints thrice a day for 2 days, whereas those in the control group received routine treatment and did not receive acupressure. The measurement included questionnaires for the collection of general information, physiological information, and disease rating scale. The Visual Analogue Scale‐Pain (VAS‐P) was used to measure the severity of pain. SPSS statistical software was used for data analysis. Independent sample t‐test and chi‐squared test were used for descriptive statistics, and paired t‐test and linear mixed model were used to examine the effect of acupressure in alleviating pain. Findings After acupressure intervention, the pain score of the experimental group was lower than that of the control group, and this difference was significant β = 17.76, p < 0.001 on day 1 after intervention; β = 19.80, p < 0.001 on day 2 after intervention. The postoperative pain score in the experimental group on day 2 after intervention was significantly lower than that in the control group (t = 2.039, p = 0.044). After the subjects received acupressure, pain index significantly decreased after considering the interaction between time and group (p < 0.001). Regardless of the type of surgery, there were significant differences in pain index when the interaction between time and group was considered (p < 0.001). Conclusions This study provided an experimental basis that acupressure can help in pain management in patients after thoracoscopic surgery, and the pain relief results become more significant as the duration of intervention increases. Clinical relevance Acupressure is effective in relieving postoperative pain in any type of thoracoscopic surgery. Nurses can use acupressure to help control pain in patients after thoracoscopic surgery.

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“…After thoracic surgery, the movement or mobilization of any body part that causes tension on the incision such as deep breathing, coughing or body movements increases the severity of pain (Kolettas et al. ; Sungur & Şentürk ). Therefore, significant attention should be directed towards adequate post‐thoracic surgery pain management.…”

Section: Introductionmentioning

confidence: 99%

Nurse‐led post‐thoracic surgery pain management programme: its outcomes in a Nigerian Hospital

Odejobi

Maneewat

Chittithavorn

2019

International Nursing Review

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Aim The overarching aim of this study was to investigate the effects of a nurse‐led pain management programme on pain intensity, side effects of treatment, shoulder range of motion and length of stay after thoracic surgery. Background Post‐thoracic surgical pain is a major source of stress and distress for patients. It has profound effects ranging from increased risks in developing chronic post‐thoracic surgery pain to an increased length of stay after surgery. The post‐thoracic surgical pain management in the Nigerian context is based on the traditional approach that is dependent on the attending medical and nursing staff. Methods The study was a quasi‐experimental design (two‐group post‐test only). The study was conducted in a Nigerian hospital. Forty‐two patients were recruited and consecutively assigned into either the usual pain management group or the intervention group after they had met the inclusion criteria. Data were collected utilizing the following: (1) the modified McGill Pain Questionnaire; (2) a Numeric Rating Scale; (3) the documentation form for thoracic surgery pain management outcomes and (4) a goniometer. Results The findings indicated that pain intensity, nausea and drowsiness were significantly reduced among the patients in the experimental group than the control group, while the duration of stay after surgery and the shoulder range of motion were not different between the groups. Conclusion This study's results suggest that the intervention in question for patients undergoing thoracic surgery had a positive effect on reducing pain intensity, nausea and drowsiness but not the shoulder range of motion and length of stay after surgery. Implications for nursing policy Nursing policymakers may need to give a serious consideration to the revision of policies related to the nursing education curriculum as well as the in‐service training curriculum regarding pain management by nurses especially after surgery. Likewise, future research on other populations employing an improved methodology as well as utilizing up‐to‐date evidence by nurses across different hospitals may be necessary.

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Pain Management Following Thoracic Surgery

Cited by 3 publications

References 79 publications

Non-Pharmacological Management of Acute Pain after Breast and Thoracic Surgery

Non-Pharmacological Management of Acute Pain after Breast and Thoracic Surgery

The effectiveness of acupressure for managing postoperative pain in patients with thoracoscopic surgery: A randomized control trial.

Nurse‐led post‐thoracic surgery pain management programme: its outcomes in a Nigerian Hospital

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