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Paper Information

Journal:   ADVANCED PHARMACEUTICAL BULLETIN   2013 , Volume 3 , Number 2; Page(s) 373 To 377.
 
Paper: 

STUDY OF PATIENT PAIN MANAGEMENT AFTER HEART SURGERY

 
 
Author(s):  SATTARI MOHAMMADREZA, BAGHDADCHI MOHAMMAD EBRAHIM, KHEYRI MARZIEH, KHAKZADI HASSAN, OZAR MASHAYEKHI SIMIN*
 
* FACULTY OF PHARMACY, TABRIZ UNIVERSITY OF MEDICAL SCIENCES, TABRIZ, IRAN, POST CODE: 51664-14766
 
Abstract: 

Purpose: To investigate postoperative pain control and analgesic use after heart surgery.
Methods: 120 patients undergone heart surgery, randomly entered the study. Each patient was asked to score his pain intensity on visual analog scale (VAS) at four different occasions.
Results: 120 patients aged 59 year-old; including 81 male were enrolled in the study.69.2% had coronary artery disease and 16.7% had heart-valve problem. Main types of surgeries were coronary artery bypass surgery (70.5%) and valve repairement (23%). Duration of ICU stay was 4.78±2.7 days and duration of intubations was 17.38 ± 36.46 hours. Pre-surgery pain relief was administrated to 42% of the subjects and morphine and promethazine was the main pre-surgery analgesia medication. Post surgery analgesic included morphine (injection), petidine (injection) and NSAIDS (oral or rectal). According to VAS, mean pain level, 1 and 4 hours after extubation, and before and one hour after transferring to wards was 5.05±2.5, 4.09±2.0, 3.52±1.8, 2.36±1.89, respectively. Although the level of pain reported was mostly moderate, 80% were reported satisfaction with their post-surgery pain management.
Conclusion: A closer pain management control is needed for patients after heart surgery. Introduction of newer pain management techniques, medications and dosages could reduce the pain and suffering.

 
Keyword(s): POSTOPERATIVE PAIN, VISUAL ANALOG PAIN SCALE, PAIN ASSESSMENT, HEART SURGERY
 
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