Analgesic efficacy of lidocaine and multimodal analgesia for chest tube removal: A randomized trial study

Objective: to assess the analgesic efficacy of subcutaneous lidocaine and multimodal analgesia for chest tube removal following heart surgery. Methods: sixty volunteers were randomly allocated in two groups; 30 participants in the experimental group were given 1% subcutaneous lidocaine, and 30 controls were given a multimodal analgesia regime comprising systemic anti-inflammatory agents and opioids. The intensity and quality of pain and trait and state anxiety were assessed. The association between independent variables and final outcome was assessed by means of the Chi-squared test with Yates' correction and Fisher's exact test. Results: the groups did not exhibit significant difference with respect to the intensity of pain upon chest tube removal (p= 0.47). The most frequent descriptors of pain reported by the participants were pressing, sharp, pricking, burning and unbearable. Conclusion: the present study suggests that the analgesic effect of the subcutaneous administration of 1% lidocaine combined with multimodal analgesia is most efficacious.

Bibliographic Details

Main Authors:	Pinheiro,Valdecy Ferreira de Oliveira, Costa,José Madson Vidal da, Cascudo,Marcelo Matos, Pinheiro,Ênio de Oliveira, Fernandes,Maria Angela Ferreira, Araujo,Ivonete Batista de
Format:	Digital revista
Language:	English
Published:	Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2015
Online Access:	http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692015000601000
Tags:	Add Tag No Tags, Be the first to tag this record!