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

Authors

  • Valdecy Ferreira de Oliveira Pinheiro Universidade Federal do Rio Grande do Norte; Departamento de Enfermagem
  • José Madson Vidal da Costa Hospital Promater
  • Marcelo Matos Cascudo Hospital Promater
  • Ênio de Oliveira Pinheiro Hospital Promater
  • Maria Angela Ferreira Fernandes Universidade Federal do Rio Grande do Norte; Departamento de Odontologia
  • Ivonete Batista de Araujo Universidade Federal do Rio Grande do Norte; Departamento de Farmácia

DOI:

https://doi.org/10.1590/0104-1169.0498.2642

Abstract

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.

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Published

2015-12-01

Issue

Vol. 23 No. 6 (2015)

Section

Original Articles

License

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Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Analgesic efficacy of lidocaine and multimodal analgesia for chest tube removal: A randomized trial study . (2015). Revista Latino-Americana De Enfermagem, 23(6), 1000-1006. https://doi.org/10.1590/0104-1169.0498.2642