American journal of critical care : an official publication, American Association of Critical-Care Nurses
-
Randomized Controlled Trial Clinical Trial
Effects of interpleural bupivacaine on pleural chest tube removal pain: a randomized controlled trial.
Moderate to severe pain associated with the removal of pleural chest tubes is poorly controlled with opioids. New methods are needed to manage the pain associated with this procedure. ⋯ These data demonstrate that chest tube removal pain is of moderate to severe intensity and that pleural chest tube injections of bupivacaine were not effective in decreasing chest tube removal pain. However, the decrease in pain associated with the administration of ketorolac warrants future study.
-
Randomized Controlled Trial Clinical Trial
Effect of lateral position on arterial and venous blood gases in postoperative cardiac surgery patients.
Investigators have suggested that lateral position may have clinically significant effects on oxygenation in cardiac surgery patients. Presence of lung disease and type of cardiac surgery may be important considerations. ⋯ The results of this study support those of previous research, which reported lower PaO2 in postoperative coronary artery bypass graft patients in the left lateral position. Mean differences in PaO2 were small, suggesting that the known benefits of lateral positioning in the early postoperative period outweigh the potential risks.