|
Abstract:
|
Pain is defined as an unpleasant sensory or emotional experience, associated with tissue damage, that is a reality linked to the surgical procedure and the postoperative period. Objective: Knowing the degree of pain experienced by patients after cardiac surgery, depending on the type of intervention they underwent, over the post-operative period in an intensive care unit (ICU). Method: Descriptive observational study. Pain was assessed by the visual analog scale (VAS), going from 0 to 10, thereby obtaining the first VAS1 assessment at 2 h post-extubation and every 8 hours thereafter up to 48 hours or until discharge to floor VAS7. It included patients having undergone cardiac surgery [valve surgery, bypass, combined procedure (including valve surgery and bypass) and mediastinitis]. Data were processed using Spss.v 20. Results: 120 patients 70 years old on average (standard deviation (SD): 13.3 years old) were included, out of which 70% were male. 40.8% of them had underwent bypass coronary revascularization. Patients subjected to the bypass technique showed an VAS1 mean value of 4.35 (SD: 2.45), unlike those subjected to valve surgery, who showed a mean value of 2.89 (SD: 2.27), those subjected to the combined procedure, who showed a mean value of 3.87 (SD: 2.90), and those with mediastinitis, who showed a mean value of 3.33 (SD: 3.51); (p < 0.031). 28.5% of patients had underwent revascularization (n = 49 ) by an internal mam mary artery (IMA) graft. These patients showed a mean value for VAS1 of 5.4 (SD: 1.89), unlike those who had underwent a combined procedure [IMA and saphenous vein (SV)], who showed a mean value of 3.9 (SD: 2.6), and those who had underwent a SV procedure , who showed a mean value of 3.5 (SD: 2.1); (p < 0.045). Conclusions: Patients having underwent bypass and IMA procedures perceive more pain than in other cardiac surgery and graft interventions |
|
Abstract:
|
El dolor se define como una experiencia sensorial o emocional desagradable, asociada a daño tisular, siendo una realidad ligada al acto quirúrgico y al periodo postoperatorio. Objetivo: Conocer el grado de dolor que experimentan los pacientes postoperados de cirugía cardiaca según tipo de intervención a la que fueron sometidos, durante el postoperatorio en una unidad de cuidados intensivos (UCI). Método: Estudio observacional descriptivo. El dolor fue evaluado mediante la escala visual analógica (EVA) de 0 a
10, obteniéndose la primera valoración EVA1 (a las 2 horas postextubación) y posteriormente cada 8 horas hasta las 48 horas o alta a planta EVA7, se incluyeron pacientes que fueron intervenidos de cirugía cardiaca [Valvulares, baipás (bypass), combinada (incluye valvulares y bypass) y mediastinitis], los datos se trataron mediante Spss.v 20. Resultados: Se incluyeron 120 pacientes con una
edad media de 70 años, desviación típica (DT):13,3 años, el 70% eran hombres. El 40,8% fueron intervenidos de revascularización coronaria mediante bypass. Los pacientes sometidos a la técnica bypass experimentaron un valor medio para EVA1 de 4,35 (DT:2,45) a diferencia de valvulares con 2,89 (DT:2,27), de combinada 3,87 (DT:2,90) y de mediastinitis 3,33 (DT:3,51); (p<0,031). El 28,5% de los pacientes sometidos a revascularización (n=49), mediante injerto arteria mamaria interna (AMI). Registraron un valor
medio para EVA1: 5,4 (DT:1,89) a diferencia de combinada (AMI y vena safena (VS) ) que fue de 3,9 (DT:2,6) y para VS
3,5 (DT:2,1); (p<0,045). Conclusiones: Los pacientes intervenidos de bypass e injerto AMI perciben más dolor que el resto de tipos de cirugía cardiaca e injertos |
