IJSS Journal of Surgery

Permanent URI for this collection

https://imsear.searo.who.int/handle/123456789/157948

Editor: Dr Mahesh M Pukar
ISSN: 2395-1893

Frequency: Once in two months

Language: English

Open Access Peer-reviewed journal

Web site: https://surgeryijss.com/

Browse

Browsing IJSS Journal of Surgery by Author "Abisola, Ogunyanwo Abiodun"

Now showing 1 - 1 of 1
  • Thumbnail Image
    Item
    Pain Tolerance in Post-cardiovascular Operative Patients and Effectiveness of Analgesia in Pain Management.
    (2016-05) Asuku, Lawal Gabriel; Abisola, Ogunyanwo Abiodun; Taiwo, Ogunfowora Olumide; Ufuoma, Adugbo Annabelle
    Background: Post-surgical pain after cardiac and vascular surgery has long been overlooked and considered insignificant. This issue has only been recently acknowledged as an important problem and a plausible cause of persistent pain and long-term suffering. Different patients experience pain tolerance in varying degrees and despite the use of many analgesia schemes, perioperative pain management is still not perfect, notably in major surgery like cardiac and vascular surgeries. Objective: To determine various pain tolerance levels in patients after cardiac and vascular surgery and also to determine the efficacy of analgesia in post-surgical pain. Materials and Methods: The perioperative pain intensity at rest and in activity was investigated using the visual analog scale (VAS = 10 cm) in 41 patients; (male/female =33/8), after cardiovascular surgery, notably; ACGB, valve reconstruction, carotid endarterectomy, lower limb revascularization, and limb amputation. Results are given as mean ± standard deviation, and all participants were asked to assess their analgesic satisfaction by 5-point scale: 0 = Very poor, 5 = Excellent. The correlation between patients’ pain intensity and satisfaction was calculated using Pearson’s coefficient (R). Results: The pain intensity at rest was 3.12 ± 2.55 cm (max = 9.0; min = 0) while intensity during activity (during movement or cough) - was 4.93 ± 3.27 cm (max = 10.0; min = 0). We also found high positive correlation between pain intensity at rest and during activity (R = +0.86; P < 0.00001). The participants evaluated their analgesic satisfaction to be 4.02 ± 1.24 (max = 5.0; min = 0) while there was moderate negative correlation between analgesic satisfaction and pain intensity at rest (R = −0.6; P < 0.00004) and also between analgesic satisfaction and pain intensity in activity (R = −0.47; P = 0.0021). Conclusion: Patients who had moderate pain intensity after cardiovascular surgery presented with a rather high satisfaction with their analgesia.