Late sensory changes following chest drain insertion during thoracotomy

K Wildgaard; T K Ringsted; J Ravn; M U Werner; H Kehlet

doi:10.1111/aas.12077

Late sensory changes following chest drain insertion during thoracotomy

K Wildgaard, T K Ringsted, J Ravn, M U Werner, H Kehlet

6 Citations (Scopus)

Abstract

BACKGROUND: It is well known that chest drains are associated with severe movement-related acute pain. These noxious stimuli could play a significant role in development and maintenance of persistent post-operative pain. Therefore we studied chest drain sites in post-thoracotomy pain syndrome (PTPS) patients, in regard to pain and sensory dysfunction. METHODS: We quantified thermal and pressure thresholds on both the chest drain side and the contralateral side in 11 PTPS patients and 10 pain-free post-thoracotomy patients 33 months after the thoracotomy. On average, each patient had two chest drains inserted during surgery. RESULTS: At follow up, two patients experienced pain at the chest drain sites, but had maximal pain near or at the thoracotomy scar. Comparison between chest drain side and control side for all 21 patients demonstrated significantly elevated thresholds for warmth detection and heat pain on the chest drain side (P

Original language	English
Journal	Acta Anaesthesiologica Scandinavica
ISSN	0001-5172
DOIs	https://doi.org/10.1111/aas.12077
Publication status	Published - Jul 2013

Access to Document

10.1111/aas.12077

Cite this

@article{9ef60d54ef1c44cfb0ecaf79f1cddb28,

title = "Late sensory changes following chest drain insertion during thoracotomy",

abstract = "BACKGROUND: It is well known that chest drains are associated with severe movement-related acute pain. These noxious stimuli could play a significant role in development and maintenance of persistent post-operative pain. Therefore we studied chest drain sites in post-thoracotomy pain syndrome (PTPS) patients, in regard to pain and sensory dysfunction. METHODS: We quantified thermal and pressure thresholds on both the chest drain side and the contralateral side in 11 PTPS patients and 10 pain-free post-thoracotomy patients 33 months after the thoracotomy. On average, each patient had two chest drains inserted during surgery. RESULTS: At follow up, two patients experienced pain at the chest drain sites, but had maximal pain near or at the thoracotomy scar. Comparison between chest drain side and control side for all 21 patients demonstrated significantly elevated thresholds for warmth detection and heat pain on the chest drain side (P ",

author = "K Wildgaard and Ringsted, {T K} and J Ravn and Werner, {M U} and H Kehlet",

note = "{\textcopyright} 2013 The Acta Anaesthesiologica Scandinavica Foundation.",

year = "2013",

month = jul,

doi = "10.1111/aas.12077",

language = "English",

journal = "Acta Anaesthesiologica Scandinavica",

issn = "0001-5172",

publisher = "Wiley-Blackwell",

}

TY - JOUR

T1 - Late sensory changes following chest drain insertion during thoracotomy

AU - Wildgaard, K

AU - Ringsted, T K

AU - Ravn, J

AU - Werner, M U

AU - Kehlet, H

PY - 2013/7

Y1 - 2013/7

N2 - BACKGROUND: It is well known that chest drains are associated with severe movement-related acute pain. These noxious stimuli could play a significant role in development and maintenance of persistent post-operative pain. Therefore we studied chest drain sites in post-thoracotomy pain syndrome (PTPS) patients, in regard to pain and sensory dysfunction. METHODS: We quantified thermal and pressure thresholds on both the chest drain side and the contralateral side in 11 PTPS patients and 10 pain-free post-thoracotomy patients 33 months after the thoracotomy. On average, each patient had two chest drains inserted during surgery. RESULTS: At follow up, two patients experienced pain at the chest drain sites, but had maximal pain near or at the thoracotomy scar. Comparison between chest drain side and control side for all 21 patients demonstrated significantly elevated thresholds for warmth detection and heat pain on the chest drain side (P

AB - BACKGROUND: It is well known that chest drains are associated with severe movement-related acute pain. These noxious stimuli could play a significant role in development and maintenance of persistent post-operative pain. Therefore we studied chest drain sites in post-thoracotomy pain syndrome (PTPS) patients, in regard to pain and sensory dysfunction. METHODS: We quantified thermal and pressure thresholds on both the chest drain side and the contralateral side in 11 PTPS patients and 10 pain-free post-thoracotomy patients 33 months after the thoracotomy. On average, each patient had two chest drains inserted during surgery. RESULTS: At follow up, two patients experienced pain at the chest drain sites, but had maximal pain near or at the thoracotomy scar. Comparison between chest drain side and control side for all 21 patients demonstrated significantly elevated thresholds for warmth detection and heat pain on the chest drain side (P

U2 - 10.1111/aas.12077

DO - 10.1111/aas.12077

M3 - Journal article

C2 - 23379676

SN - 0001-5172

JO - Acta Anaesthesiologica Scandinavica

JF - Acta Anaesthesiologica Scandinavica

ER -

Late sensory changes following chest drain insertion during thoracotomy

Abstract

Access to Document

Fingerprint

Cite this