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Interactive Cardiovascular and Thoracic Surgery 3:229-232(2004)
© 2004 European Association of Cardio-Thoracic Surgery

Best evidence topic - Cardiac general

Can any intervention effectively reduce the pain associated with chest drain removal?

James Barnard, Jacqueline Thompson and Joel Dunning*

Department of Cardiothoracic Surgery, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK

jamesbbarnard{at}doctors.org.uk

* Corresponding author. Tel.: +44-780-154-8122; fax: +44-161-276-8538
joeldunning{at}doctors.org.uk

A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether any intervention effectively reduces the pain associated with chest drain removal. Altogether 94 papers were found using the reported search, of which 6 presented the best evidence to answer the clinical question. The author, journal, date and country of publication, patient group studied, study type, relevant outcomes, results, and study weaknesses of these papers are tabulated. We conclude that there is minimal evidence for the effectiveness of a single approach to providing analgaesia for chest drain removal. Studies in the literature contain small numbers and are underpowered to address the questions they ask.

Key Words: Evidence-based medicine; Thoracic surgery; Chest tubes; Device removal




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