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Advanced Pharmaceutical Bulletin
ISSN: 2228-5881      eISSN: 2251-7308  
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Article History
Submitted: 25 Feb 2013
Revised: 08 Apr 2013
First published online: 20 Aug 2013

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Adv Pharm Bull. 2013;3(2):373-377 doi: 10.5681/apb.2013.060
PMID:24312863        PMCID:PMC3848238

Study of Patient Pain Management after Heart Surgery

Original Research

Mohammadreza Sattari, Mohammad Ebrahim Baghdadchi, Marzieh Kheyri, Hassan Khakzadi, Simin Ozar Mashayekhi *


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.





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