Effectiveness of Nonpharmacologic Therapies on Pain After Removal of Chest Drains in Postoperative Cardiac Surgery

Controlled clinical trial, randomized, single-blind, with a sample of 100 postoperative cardiac surgery patients who meet inclusion and exclusion criteria. The sample will be obtained by two nurses with more than 8 years of experience in cardiac intensive care and specializations, of these patients all will receive the usual pharmacological therapy, will be divided into three groups: 25 patients (local cold); 25 patients (aromatherapy); 50 patients (with usual pharmacological therapy, indicated by medical team, without adding TNF). Data will be collected through a form. The database will be exported to STATA CORP18 software, where they will be analyzed. The ethical requirements of Ezequiel Emanuel will be considered.

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Inclusion criteria

• Postoperative cardiac surgery patient with indication of the cardiac surgeon to remove chest drains within the first 24 hours postoperatively.
• Patient who follows orders and with vigil state of consciousness, temporally and spatially oriented.
• Usual analgesic treatment indicated by physician: paracetamol 1 g every 8 hours; or Metamizole 1 g every 8 hours; Ketoprofen every 8 hours, or pregabalin 75 mg every 24 hours, last administration at 07:00 am.
• INR < 2.5; Platelets > 50,000.

Exclusion criteria

• Patient with psychomotor agitation
• Dependence on psychotropic drugs, alcohol, or with abstinence syndrome.
• Patient in postoperative course with cardiogenic shock, with need for 2 or more vasoactive drugs (VAD).
• Older than 80 years old.
• Maintained with continuous infusion pump (CIB) of analgesia.
• Refractory pain, with second line management: Lidocaine patches, Buprenorphine patches, Patient controlled analgesia pump.
• Administration of anticoagulant at 07:00 am.