title: Application of lidocaine jelly on chest tubes to reduce pain caused by drainage catheter after coronary artery bypass surgery.
abstract: 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<0.001). The overall VAS score was significantly higher in group C than in group L (39.14±12.49 vs. 27.74±13.76 at extubation, P=0.006). After all of the tubes were removed, the VAS score decreased more in group C (5.74±4.77, P<0.001) than in group L (3.05±2.48, P<0.001). FPB and total fentanyl consumption were significantly higher in group C than in group L (73.00, 59.00-78.00 vs. 34.00, 31.00-39.25, P<0.001; 2,214.65±37.01 vs. 1,720.19±361.63, P<0.001, respectively). Lidocaine jelly application is a very simple way to reduce postoperative pain by reducing chest tube site pain after CABG. (Clinical Trials Registry No. ACTRN 12611001215910).
authors.affiliation: Heart Research Institute, Chung-Ang University College of Medicine, Seoul, Korea. ; Department of Anesthesiology and Pain Medicine, Chung-Ang University College of Medicine, Seoul, Korea.
authors.forename: Hyun
authors.identifier: 0000-0003-2844-5880
authors.initials: H
authors.lastname: Kang
authors.affiliation: Heart Research Institute, Chung-Ang University College of Medicine, Seoul, Korea. ; Department of Thoracic and Cardiovascular Surgery, Chung-Ang University College of Medicine, Seoul, Korea.
authors.forename: Yoon Sang
authors.identifier: 0000-0002-6901-0245
authors.initials: YS
authors.lastname: Chung
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Chung-Ang University College of Medicine, Seoul, Korea.
authors.forename: Ju Won
authors.initials: JW
authors.lastname: Choe
authors.affiliation: Department of Anesthesiology and Pain Medicine, Chung-Ang University College of Medicine, Seoul, Korea.
authors.forename: Young Cheol
authors.initials: YC
authors.lastname: Woo
authors.affiliation: Heart Research Institute, Chung-Ang University College of Medicine, Seoul, Korea. ; Department of Cardiology, Chung-Ang University College of Medicine, Seoul, Korea.
authors.forename: Sang Wook
authors.initials: SW
authors.lastname: Kim
authors.affiliation: Department of Surgery, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.
authors.forename: Soon J
authors.initials: SJ
authors.lastname: Park
authors.affiliation: Heart Research Institute, Chung-Ang University College of Medicine, Seoul, Korea. ; Department of Thoracic and Cardiovascular Surgery, Chung-Ang University College of Medicine, Seoul, Korea.
authors.forename: Joonhwa
authors.initials: J
authors.lastname: Hong
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D016058:Analgesia, Patient-Controlled; D000779:Anesthetics, Local / Q000627:therapeutic use*; D062906:Cardiac Catheters / Q000009:adverse effects; D015505:Chest Tubes / Q000009:adverse effects*; D001026:Coronary Artery Bypass; D004322:Drainage; D005260:Female; D005283:Fentanyl / Q000627:therapeutic use; D006801:Humans; D008012:Lidocaine / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D059408:Pain Management / Q000379:methods*; D010147:Pain Measurement; D010149:Postoperative Pain / Q000188:drug therapy*; D011897:Random Allocation; D055815:Young Adult
chemical_list: D000779:Anesthetics, Local; D008012:Lidocaine; D005283:Fentanyl
keywords: Analgesia; Coronary Artery Bypass; Pain, Postoperative