Spirometric values and chest pain intensity three days post-operative coronary artery bypass graft surgery

AlOtaibi, Kholoud; El-Sobkey, Salwa B.

doi:10.1016/j.jsha.2015.02.002

Cited by 8 publications

(6 citation statements)

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“…However, this study was unable to identify which subtype of surgery was significantly associated with pain. A previous study identified that patients having CABG with Left Internal Mammary Artery (LIMA) and valvular surgery were more likely to have higher levels of pain than those having CABG without LIMA [21, 22]. The IMA grafting causes trauma to the internal thoracic cage, which increases the intensity of chest pain.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Postoperative Pain among Patients after Cardiac Surgery in the Tertiary Care Teaching Hospital of Karachi, Pakistan

Micah

Barolia

Parpio

et al. 2019

Pain Research and Treatment

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Background. Pain is the subjective feeling of an individual, which affects the overall recovery of patients after cardiac surgery. Postoperative pain is the most inadequately managed symptom of cardiac surgery. Subsequently, there are many factors that can either hinder or facilitate pain management, including patients' beliefs, cultural values, physiological features, hospital policies, and healthcare providers' knowledge and beliefs. The purpose of this research was to identify factors associated with postoperative pain and its management, after cardiac surgery, among patients in a tertiary care hospital in Karachi, Pakistan. Methods. Quantitative correlational study design was employed to attain the study purpose. Data were collected from 136 adult cardiac surgery patients admitted in the Cardiothoracic Surgery (CTS) Department, of tertiary care hospital. A self-developed questionnaire tool was used to gather information from patients. Data was then analyzed on SPSS version 19. Mann-Whitney U, Kruskal Wallis, and Spearman tests were applied to find the associations between the pain levels and of the independent variables. Results. The mean pain scores of the first, second, and third postoperative days were found to be 2.98, 2.96, and 2.98, respectively. The findings also showed that BMI and the types of surgery were significantly associated with postoperative pain. Patients' beliefs regarding drug dependency, fear of adverse effects, and postoperative physical activities were also associated with pain. Furthermore, the nurses’ education level and reluctance in medication administration due to fear of adverse effects were found to be significant too. Conclusion. The study identified some of the important factors that were associated with postoperative pain. The results suggest the need for the enhancement of patients' education on drug dependency, adverse effects, and physical activity, before cardiac surgery. The nurses should be educated on pain management keeping the patients’ culture and other perceptions of pain in mind.

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Section: Discussionmentioning

confidence: 99%

Factors Associated with Postoperative Pain among Patients after Cardiac Surgery in the Tertiary Care Teaching Hospital of Karachi, Pakistan

Micah

Barolia

Parpio

et al. 2019

Pain Research and Treatment

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“…Os resultados obtidos no presente estudo vão de encontro à literatura ao evidenciar a diminuição dos volumes pulmonares após procedimentos cirúrgicos, principalmente no pós-operatório imediato [10][11][12] . Tanto que Cardoso et al 13 , ao submeterem sua amostra a coleta dos volumes pulmonares e PFE no pré-operatório, pós-operatório imediato e pré-alta hospitalar, constataram que no pós-operatório imediato os pacientes apresentaram menor fluxo expiratório e já os valores coletados no pré-operatório, foram superiores aos demais, estando em concordância com o presente estudo onde os valores coletados após o procedimento cirúrgico foram menores aos que antecederam a cirurgia e os avaliados na UTI (pós-operatório imediato) foram inferiores aos aferidos na enfermaria (pré-alta hospitalar).…”

Section: Fisioterapiaunclassified

Avaliação da função pulmonar em diferentes fases da cirurgia de troca de valva cardíaca

Silva¹,

Gouvêa²,

Pinto³

et al. 2017

PRMJ

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FisioterapiaCopyright Silva et al. Este é um artigo publicado em acesso aberto (Open Access) sob a licença Creative Commons Attribution, que permite uso, distribuição e reprodução em qualquer meio, sem restrições desde que o trabalho original seja corretamente citado. resumo Objetivo: investigar a função pulmonar em diferentes fases da cirurgia de troca de valva cardíaca. Método: Trata-se de um estudo longitudinal de caráter quantitativo, participaram do estudo voluntários do sexo masculino e com idade entre 25-50 anos, com diagnóstico de valvopatia com indicação cirúrgica de troca de valva cardíaca. Onde foi avaliado o pico de fluxo expiratório (PFE) no período pré-operatório, no período pós operatório na unidade de terapia intensiva (UTI) e no período pós operatório na enfermaria. Foram realizadas até oito medidas, sendo selecionado o maior valor de três medidas reprodutíveis e aceitáveis com variação máxima de 10% do valor obtido. A análise estatística foi realizada no programa Bioestat 5.0, utilizou-se o teste de Shpiro-Wilk para verificar a normalidade e o teste Anova para análise da variância dos dados, admitiu-se nível de significância p<0,05. Resultados: o pico de fluxo expiratório foi maior na fase pré-operatória (500,00 ± 82,15) quando comparados ao período de avaliação na unidade de terapia intensiva (421,11 ± 46,21) e após alta da unidade de terapia intensiva (452,22 ± 46,03). Conclusão: Foi possível observar alteração da função pulmonar decorrente da cirurgia de troca de valva cardíaca e mesmo após algum tempo decorrido da cirurgia a função pulmonar não retornou aos valores prévios à cirurgia.Descritores: valva cardíaca; cirurgia cardíaca; função pulmonar.summary Purpose: to investigate pulmonary function in different phases of cardiac valve replacement surgery. Methods: This was a longitudinal study of a quantitative nature. The volunteers were male volunteers aged between 25 and 50 years, with valvar heart disease. Where the peak of expiratory flow (PEF) was evaluated in the preoperative period, in the postoperative period in the intensive care unit (ICU) and in the postoperative period in the ward. Up to eight measurements were performed, and the highest value of three reproducible and acceptable measurements was selected with a maximum variation of 10% of the value obtained. Statistical analysis was performed in the Bioestat 5.0 program, the Shpiro-Wilk test was used to verify normality and the Anova test to analyze the data variance, a significance level of p <0.05 was accepted. Results: peak expiratory flow was higher in the preoperative phase (500.00 ± 82.15) when compared to the evaluation period in the intensive care unit (421.11 ± 46.21) and after discharge from the therapy unit (452.22 ± 46.03). Conclusion: It was possible to observe changes in pulmonary function due to cardiac valve replacement surgery, and even after some time after surgery, pulmonary function did not return to the values prior to surgery.

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“…Spirometry tests performed before surgery provide measurable data regarding the functioning of the respiratory system, informing about the occurrence of respiratory disorders and indicating potentially increased risk of complications in the early post-operative period. The studies have shown that spirometry performed prior to and after the surgery can be regarded as a useful and repeatable tool to provide information about the status of the respiratory system’s capacity and function [ 15 , 16 , 17 ]. The use of methods allowing an accurate analysis of the respiratory system before and after surgery makes it possible to design individual physiotherapy plans, reducing the number of pulmonary complications after surgery and qualifying the patients for certain cardiac rehabilitation processes.…”

Section: Introductionmentioning

confidence: 99%

The Efficacy of Inpatient vs. Home-Based Physiotherapy Following Coronary Artery Bypass Grafting

Szylińska

Listewnik

Rotter

et al. 2018

IJERPH

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Background: Intensive post-operative physiotherapy after cardiac surgery helps to reduce the number of complications, accelerating convalescence and decreasing peri-operative mortality. Cardiac rehabilitation is aimed at regaining lost function and sustaining the effect of cardiac surgery. The aim of this study was to compare the efficacy of inpatient and home-based phase II physiotherapy following coronary artery bypass grafting, and inpatient phase II post-operative physiotherapy based on the analysis of the spirometry results. Methods: A prospective observational study included 104 adult patients of both sexes undergoing planned coronary artery bypass grafting and were randomized to one of the two groups—inpatients (InPhysio) and home-based (HomePhysio) at a 1:1 ratio. All patients had undergone spirometry testing prior to surgery (S1) and on the fifth day after the operation (S2), i.e., on the day of completion of the first phase (PI) of physiotherapy. Both the study group (InPhysio) and the control group (HomePhysio) performed the same set of exercises in the second phase (PII) of cardiac physiotherapy, either in the hospital or at home, respectively, according to the program obtained in the hospital. Both groups have undergone spirometry testing (S3) at 30 days after the operation. Results: The demographic and peri-operative data for both groups were comparable and showed no statistically significant differences. An analysis of gradients between the results of spirometry tests before surgery and at 30 days after the surgery showed a smaller decrease in forced vital capacity (FVC) in the study group than in the control group (p < 0.001). The results at five and 30 days after the surgery showed a greater increase in FVC in the study group than in the control group (680 mL vs. 450 mL, p = 0.009). There were no statistically significant differences in other parameters studied. Conclusions: The advantage of inpatient over home-based physiotherapy was evidenced by much smaller decreases in FVC between the initial and final tests, and greater increases between the fifth day after surgery and the final test. Our analysis showed greater efficacy of inpatient physiotherapy as compared with home-based exercises and raises concerns about patient adherence.

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Spirometric values and chest pain intensity three days post-operative coronary artery bypass graft surgery

Cited by 8 publications

References 31 publications

Factors Associated with Postoperative Pain among Patients after Cardiac Surgery in the Tertiary Care Teaching Hospital of Karachi, Pakistan

Factors Associated with Postoperative Pain among Patients after Cardiac Surgery in the Tertiary Care Teaching Hospital of Karachi, Pakistan

Avaliação da função pulmonar em diferentes fases da cirurgia de troca de valva cardíaca

The Efficacy of Inpatient vs. Home-Based Physiotherapy Following Coronary Artery Bypass Grafting

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