scholarly journals Assessment of pain during rest and during activities in the postoperative period of cardiac surgery

2014 ◽  
Vol 22 (1) ◽  
pp. 136-143 ◽  
Author(s):  
Larissa Coelho de Mello ◽  
Silvio Fernando Castro Rosatti ◽  
Priscilla Hortense
Keyword(s):  
Cardiac Surgery ◽  
Postoperative Pain ◽  
Postoperative Complications ◽  
Postoperative Period ◽  
Pain Assessment ◽  
Descriptive Study ◽  
Deep Breathing ◽  
Cohort Design ◽  
Surgical Recovery ◽  
Over Time

OBJECTIVE: to assess the intensity and site of pain after Cardiac Surgery through sternotomy during rest and while performing five activities. METHOD: descriptive study with a prospective cohort design. A total of 48 individuals participated in the study. A Multidimensional Scale for Pain Assessment was used. RESULTS: postoperative pain from cardiac surgery was moderate during rest and decreased over time. Pain was also moderate during activities performed on the 1st and 2nd postoperative days and decreased from the 3rd postoperative day, with the exception of coughing, which diminished only on the 6th postoperative day. Coughing, turning over, deep breathing and rest are presented in decreased order of intensity. The region of the sternum was the most frequently reported site of pain. CONCLUSION: the assessment of pain in the individuals who underwent cardiac surgery during rest and during activities is extremely important to adapt management and avoid postoperative complications and delayed surgical recovery.

Cardiac surgery postperative: diagnosis and nursing interventions

2009 ◽  
Vol 4 (1) ◽  
pp. 391
Author(s):  
Clarissa Garcia Rodrigues ◽  
Roberta Senger ◽  
Laura De Azevedo Guido ◽  
Graciele Fernanda da Costa Linch
Keyword(s):  
Cardiac Surgery ◽  
Postoperative Complications ◽  
Scientific Information ◽  
Descriptive Study ◽  
Nursing Intervention ◽  
Nursing Interventions ◽  
Inclusion Criteria ◽  
Nursing Diagnosis ◽  
Intervention Plan ◽  
Nursing Diagnoses

ABSTRACTObjective: to conduct a survey of the studies regarding the main postoperative complications in cardiac surgery and main nursing diagnoses identified. Methods: this is a descriptive study that to select the papers, the following databases were used: SCIELO, LILACS and MEDLINE. The descriptors were: postoperative, cardiac surgery, nursing diagnoses. The following inclusion criteria have been considered: papers published in Brazil from 1997 to 2007, papers on postoperative complications in cardiac surgery in adults, papers using the diagnoses standardized by NANDA. The selected papers were distributed into categories. Results: the following categories have been defined: category I – Complications in the postoperative in cardiac surgery; and category II – Nursing diagnoses in postoperative in cardiac surgery. The relation among the main postoperative complications has been made – physiology and/or semiology of the complication – nursing diagnoses – nursing interventions, which has been presented through synoptic. Later, a nursing intervention plan has been proposed. Conclusion: in despite of the complexity of the development of a nursing plan, it is highlighted the assistance rendered, the necessity of clinical studies regarding complications and the postoperative scenario, and the logical thinking focused on scientific information contributing for knowledge construction and nursing improvement. Descriptors: postoperative complications; cardiology; nursing diagnosis. RESUMOObjetivo: realizar um levantamento dos estudos referentes às principais complicações em pós-operatório de cirurgia cardíaca e principais diagnósticos de enfermagem identificados. Métodos: estudo descritivo que para a seleção dos artigos optou-se pelas seguintes bases de dados: SCIELO, LILACS e MEDLINE. Os descritores foram: pós-operatório, cirurgia cardíaca; diagnósticos de enfermagem. Consideraram-se os seguintes critérios de inclusão: artigos publicados no Brasil no período de 1997 a 2007; artigos sobre complicações do pós-operatório de cirurgia cardíaca; artigos sobre diagnósticos de enfermagem no pós-operatório de cirurgia cardíaca padronizados pela NANDA. Os artigos selecionados foram distribuídos em categorias. Resultados: foram definidas as seguintes categorias: categoria I - Complicações no pós-operatório em cirurgia cardíaca; e categoria II - Os diagnósticos de enfermagem no pós-operatório em cirurgia cardíaca. Fez-se a relação principais complicações pós-operatórias – fisiologia e/ou semiologia da complicação – diagnósticos de enfermagem – intervenções de enfermagem, a qual foi apresentada em quadros sinópticos. A seguir, propôs um plano de intervenções de enfermagem. Conclusão: Apesar da complexidade do desenvolvimento do plano de enfermagem, ressalta-se a qualidade da assistência prestada, a necessidade de estudos clínicos referentes às complicações e ao cenário pós-operatório e o raciocínio lógico centrado em informações científicas, contribuindo para a construção do conhecimento e engrandecimento da enfermagem. Descritores: complicações pós-operatórias; cardiologia; diagnóstico de enfermagem. RESUMENObjetivo: realizar un levantamiento de los estudios referentes a las principales complicaciones en el pos-operatorio de cirugía cardiaca y principales diagnósticos de enfermería identificados. Métodos: el estudio es descriptivo cuya selección de los artículos se hizo opción por las siguientes bases de datos: SCIELO, LILACS y MEDLINE. Los descriptores fueron: pos-operatorio, cirugía cardiaca, diagnósticos de enfermería. Se consideraron los siguientes criterios de inclusión: artículos publicados en Brasil en el periodo de 1997 a 2007, artículos sobre complicaciones del pos-operatorio de cirugía cardiaca, artículos que utilizan los diagnósticos de enfermería por patrones de NANDA. Los artículos seleccionados fueron distribuidos en categorías. Resultados: fueron definidas las siguientes categorías: categoría I – Complicaciones en el pos-operatorio en cirugía cardiaca; y categoría II – Los diagnósticos de enfermería en el pos-operatorio en cirugía cardiaca. Se hizo la relación de las principales complicaciones pos-operatorias – fisiología y/o semiología de la complicación – diagnósticos de enfermería – intervenciones de enfermería, la que fue presentada a través de cuadros sinópticos. A seguir, se propuso un plan de intervenciones de enfermería. Conclusión: a pesar de la complexidad del desarrollo de un plan de enfermería, se resalta la calidad de la asistencia prestada, la necesidad de estudios clínicos concernientes a las complicaciones y al escenario pos-operatorio y el raciocinio lógico centrado en informaciones científicas, pretendiéndose así la contribución para la construcción del conocimiento y enaltecimiento de la enfermería. Descriptores: complicaciones postoperatorias; cardiología; diagnóstico de enfermería.  

scholarly journals ANALGESIC UTILIZATION IN POSTOPERATIVE CARE AT A TERTIARY CARE TEACHING HOSPITAL IN NEPAL

2003 ◽  
Vol 42 (147) ◽  
pp. 148-150
Author(s):  
G P Rauniar ◽  
M A Naga Rani ◽  
B P Das ◽  
C S Agrawal
Keyword(s):  
Postoperative Pain ◽  
Abdominal Surgery ◽  
Hernia Repair ◽  
Hospital Stay ◽  
Retrospective Analysis ◽  
Postoperative Period ◽  
Pain Assessment ◽  
Postoperative Care ◽  
Tertiary Care ◽  
Opioid Analgesics

ABSTRACTA retrospective analysis of analgesics used in postoperative pain in abdominal surgery was done to developbase line data. Appendectomy and cholecystectomy each formed 38.63% while hernia repair constituted22.74% of all the abdominal surgeries (422). NSAIDs were the most commonly prescribed group of analgesicsboth during the hospital stay (99.52%) and at the time of discharge (86.01%). Opioid analgesics (4.73%)was used in the immediate postoperative period mainly to supplement the NSAIDs. Diclofenac (88.86%)was the most commonly prescribed analgesic to in-patients and either diclofenac (47.63) or a fixed dosecombination of ibuprofen and paracetamol (32.46%) was the most commonly prescribed at the time ofdischarge. The administered dose of diclofenac was higher than the recommended dose. Utilization ofanalgesics during postoperative period may be rationalised by pain assessment charts and regular feedbackto the precribers.Key Words: Analgesic utilization, post operative, abdominal surgery.

Correlation of Possible Kidney Injury in the Immediate Postoperative Period of Patients Having Undergone a Cardiac Surgery

2014 ◽  
Vol 5 (1) ◽  
pp. 40-59
Author(s):  
Georganta Stavroula ◽  
Gkeka Perikleia
Keyword(s):  
Cardiac Surgery ◽  
Postoperative Complications ◽  
Renal Dysfunction ◽  
Postoperative Period ◽  
Pulse Pressure ◽  
Systolic Hypertension ◽  
Kidney Injury ◽  
Isolated Systolic Hypertension ◽  
Negative Effects ◽  
Routine Basis

Cardiac surgeries nowadays are performing in a routine basis and most of the time with a great percentage of success. However, there are cases in operations that may appear postoperative complications such as renal dysfunction, which can endanger patient's life. Preexisting isolated systolic hypertension and wide pulse pressure increase the risk of postoperative renal dysfunction in the cardiac surgery population. New data suggest that BP lability (i.e., BP excursions outside an acceptable physiologic range) during cardiac surgery may also be an important predictor of subsequent renal dysfunction. Alongside, various clinic parameters for example, the time spent in the unit, other postoperative complications etc. related to kidney injury have negative effects for the progress of patients' suffering in the unit. The purpose of this study is the correlation between the appearance of kidney injury in patients undergoing a cardiac surgery the immediate postoperative period and other preoperative, intraoperative and postoperative parameters.

scholarly journals Efficiency and safety of pharmacotherapy for postoperative pain in cardiac surgery

2021 ◽  
Vol 20 (3) ◽  
pp. 2683
Author(s):  
D. A. Sychev ◽  
T. E. Morozova ◽  
D. A. Shatskiy ◽  
E. V. Shikh
Keyword(s):  
Cardiac Surgery ◽  
Postoperative Pain ◽  
Pain Relief ◽  
Postoperative Period ◽  
Multimodal Analgesia ◽  
Early Postoperative Period ◽  
Current Review ◽  
Negative Effect ◽  
Safe Technique

Intraoperative injury with the formation of a sternotomy wound is inevitably accompanied by postoperative pain, which has a negative effect on the postoperative period and prognosis of patients. Today, moderate and severe pain affects at least half of patients in the early postoperative period after cardiac surgery. Inadequate pain relief in the early postoperative period can lead to chronic pain, which significantly reduces the quality of life of patients. The concept of multimodal analgesia with different painkillers is a priority, effective and safe technique both after cardiac surgery and in other areas of surgery. The current review article is devoted to the analysis of efficacy and safety of various drug groups for postoperative pain relief in cardiac surgery.

Postoperative Pain Management in Pediatric Patients Undergoing Cardiac Surgery: Where Are We Heading?

2019 ◽  
pp. 088506661987143 ◽  
Author(s):  
Uri Pollak ◽  
Ronald A. Bronicki ◽  
Barbara-Jo Achuff ◽  
Paul A. Checchia
Keyword(s):  
Cardiac Surgery ◽  
Pain Management ◽  
Postoperative Pain ◽  
Pain Assessment ◽  
Pediatric Patients ◽  
Postoperative Pain Management ◽  
Routes Of Administration ◽  
Innovative Methods ◽  
Short And Long Term ◽  
Data Source

Objectives: Adequate postoperative pain management is crucial in pediatric patients undergoing cardiac surgery because pain can lead to devastating short- and long-term consequences. This review discusses the limitations of current postoperative pain assessment and management in children after cardiac surgery, the obstacles to providing optimal treatment, and concepts to consider that may overcome these barriers. Data Source: MEDLINE and PubMed. Conclusions: Effective pain management in infants and young children undergoing cardiac surgery continues to evolve with innovative methods of both assessment and therapy using newer drugs or novel routes of administration. Artificial intelligence– and machine learning–based pain assessment and patient-tailored management in both pain measurement and prevention are already being integrated into the routine of current practice.

Working of an oncological surgical nurse in the prevention of postoperative complications after undergoing radical mastectomy

2020 ◽  
pp. 10-14
Author(s):  
Natalya Fedosova ◽  
Anatoly Volodin
Keyword(s):  
Postoperative Complications ◽  
Nursing Care ◽  
Postoperative Period ◽  
Radical Mastectomy

The article presents the results of a study conducted to determine the effect of the organization of nursing care on reducing the duration of the postoperative period in women who underwent radical mastectomy.

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