2019
DOI: 10.1016/j.pmn.2019.02.007
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Ropivacaine/Fentanyl vs. Bupivacaine/Fentanyl for Pain Control in Children after Thoracic Surgery: A Randomized Study

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Cited by 18 publications
(13 citation statements)
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“…Moreover, postoperative diaphragm injury and chest and stomach dilatation reduce the effective breathing area, which inevitably leads to a decline in respiratory function and respiratory complications [4]. e literature in [5] believed that cricothyrocentesis can improve the ability of patients to expectoration after thoracotomy.…”
Section: Related Workmentioning
confidence: 99%
“…Moreover, postoperative diaphragm injury and chest and stomach dilatation reduce the effective breathing area, which inevitably leads to a decline in respiratory function and respiratory complications [4]. e literature in [5] believed that cricothyrocentesis can improve the ability of patients to expectoration after thoracotomy.…”
Section: Related Workmentioning
confidence: 99%
“…Active coughing and expectoration should be encouraged (79); meanwhile, mucolytics (e.g., acetylcysteine inhalation solution, 300 mg per dose, 2 times per day) can dissolve and dilute the mucous sputum in the airway, thus facilitating expectoration and reducing the risk of postoperative complications (80). In addition, it has been found that multidisciplinary collaborative airway management strategies including incentive spirometry, coughing and deep breathing, oral health care, patient (and family) education, early and ambulation at least 3 times daily, and raising the head of bed (by ≥30°) can substantially reduce the incidences of pneumonia and unplanned intubation in the postoperative period (81,82).…”
Section: Postoperative Airway Management and Pulmonary Rehabilitationmentioning
confidence: 99%
“…This method was described in our studies conducted in patients under 18 years of age after a thoracic surgery – median pain was <1/10. The three‐step method means that nurses are obliged to evaluate postoperative pain according to the NRS scale under dynamic conditions (i.e., at rest, during deep breathing, and coughing) and relieve pain >2/10 by giving painkillers (Tomaszek, Fenikowski, Gawron, & Komotajtys, 2019; Tomaszek, Fenikowski, Komotajtys, & Gawron, 2019).…”
Section: Discussionmentioning
confidence: 99%