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Chapter 39 - Pain Management after Cardiac Surgery

from Section 8 - Miscellaneous Topics

Published online by Cambridge University Press:  12 May 2020

By
Siân I. Jaggar  and
Helen C. Laycock
Edited by
Joseph Arrowsmith ,
Andrew Roscoe  and
Jonathan Mackay
Joseph Arrowsmith
Affiliation:
Royal Papworth Hospital, Cambridge
Andrew Roscoe
Affiliation:
Singapore General Hospital
Jonathan Mackay
Affiliation:
Royal Papworth Hospital, Cambridge
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Summary

Pain after cardiac surgery is common; 75% of patients recall experiencing moderate to severe pain on the cardiac ICU. This has significant physiological and psychological consequences, potentially leading to chronic pain, affecting up to 50% of patients. Adequate treatment is essential to recovery.

Type
Chapter
Information
Core Topics in Cardiac Anaesthesia , pp. 280 - 284
Publisher: Cambridge University Press
Print publication year: 2020

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References

Further Reading

Barr, J, Fraser, GL, Puntillo, K, et al. Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit. Crit Care Med 2013; 41: 263–306.CrossRefGoogle ScholarPubMed
Gélinas, C. Management of pain in cardiac surgery ICU patients: have we improved over time? Intensive Crit Care Nurs 2007; 23: 298–303.CrossRefGoogle ScholarPubMed
Gélinas, C, Fillion, L, Puntillo, KA, Viens, C, Fortier, M. Validation of the critical-care pain observation tool in adult patients. Am J Crit Care 2006; 15: 420–7.CrossRefGoogle ScholarPubMed
Henry, TD, Satran, D, Jolicoeur, EM. Treatment of refractory angina in patients not suitable for revascularization. Nat Rev Cardiol 2014; 11: 78–95.CrossRefGoogle Scholar
Holdcroft, A, Jaggar, S (eds.). Core Topics in Pain. Cambridge: Cambridge University Press; 2005.CrossRefGoogle Scholar
Lahtinen, P, Kokki, H, Hynynen, M. Pain after cardiac surgery: a prospective cohort study of 1-year incidence and intensity. Anesthesiology 2006; 105: 794–800.CrossRefGoogle ScholarPubMed
Mueller, XM, Tinguely, F, Tevaearai, HT, et al. Pain location, distribution, and intensity after cardiac surgery. Chest 2000; 118: 391–6.Google Scholar
Reimer-Kent, J. From theory to practice: preventing pain after cardiac surgery. Am J Crit Care 2003; 12: 136–43.Google Scholar
van Gulik, L, Janssen, LI, Ahlers, SJ, et al. Risk factors for chronic thoracic pain after cardiac surgery via sternotomy. Eur J Cardiothorac Surg 2011; 40: 1309–13.Google ScholarPubMed

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