Application of lidocaine jelly on chest tubes to reduce pain caused by drainage catheter after coronary artery bypass surgery

• Published in: Journal of Korean medical science 2014, 29(10), 193, pp.1398-1403
• Main Authors: Kang, Hyun, Chung, Yoon Sang, Choe, Ju Won, Woo, Young Cheol, Kim, Sang Wook, Park, Soon J, Hong, Joonhwa
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Aged; Analgesia, Patient-Controlled; Anesthetics, Local - therapeutic use; Cardiac Catheters - adverse effects; Chest Tubes - adverse effects; Coronary Artery Bypass; Drainage; Female; Fentanyl - therapeutic use; Humans; Lidocaine - therapeutic use; Male; Middle Aged; Original; Pain Management - methods; Pain Measurement; Pain, Postoperative - drug therapy; Random Allocation; Young Adult; 의학일반
• ISSN: 1011-8934; 1598-6357
• DOI: 10.3346/jkms.2014.29.10.1398

The objective of this study was to assess the effect of lidocaine jelly application to chest tubes on the intensity and duration of overall pain, chest tube site pain and the required analgesics for postoperative pain relief in coronary artery bypass graft (CABG) patients. For patients in group L, we applied sterile 2% lidocaine jelly on the chest tubes just before insertion, and for patients in group C, we applied normal saline. Overall visual analogue scale (VAS), maximal pain area with their VAS were documented postoperatively, and the frequency that button of patient-controlled analgesia was pressed (FPB) and total fentanyl consumption were assessed. The number of patients who complained that tube site was the most painful site was significantly higher in group C than in group L (85% vs. 30% at extubation, P