Pain pattern and left internal mammary artery grafting.

Details

Serval ID
serval:BIB_CFF425C64F39
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Pain pattern and left internal mammary artery grafting.
Journal
The Annals of thoracic surgery
Author(s)
Mueller X.M., Tinguely F., Tevaearai H.T., Revelly J.P., Chioléro R., von Segesser L.K.
ISSN
0003-4975
Publication state
Published
Issued date
2000
Peer-reviewed
Oui
Volume
70
Number
6
Pages
2045-9
Language
english
Notes
Publication types: Comparative Study ; Journal Article - Publication Status: ppublish
Abstract
BACKGROUND: This study was designed to determine whether the pain pattern in patients with an internal mammary artery (IMA) harvest differs from that in other cardiac operations and whether these patients present specific characteristics with clinical implications. METHODS: One hundred patients with left IMA grafting (IMA group) were compared prospectively with 100 patients who had a heart operation without IMA harvest (non-IMA group). Pain assessment was performed on postoperative days (POD) 1, 2, 3, and 7, and included pain intensity (10-point scale) and pain localization. RESULTS: In the IMA group, pain intensity was higher on POD 2 (4.2 +/- 2.4 versus 3.2 +/- 2.3, p < 0.01), and there were more patients without pain on POD 7 (32 versus 19, p = 0.03). In the IMA group, more patients had left basal thoracic pain throughout the entire study period and had sternal pain on POD 7, whereas more patients in the non-IMA group complained about back pain during the early postoperative period. CONCLUSIONS: The impact of IMA harvest on pain intensity is moderate, but the pain localization pattern of each group exhibits specific features that could help to better target pain management.
Keywords
Adult, Aged, Aged, 80 and over, Female, Humans, Internal Mammary-Coronary Artery Anastomosis, Male, Middle Aged, Pain Measurement, Pain, Postoperative, Tissue and Organ Harvesting
Pubmed
Web of science
Create date
24/01/2008 18:03
Last modification date
20/08/2019 16:50
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