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Related Experiment Videos

Sensations during chest tube removal.

A G Gift1, C S Bolgiano, J Cunningham

  • 1University of Maryland School of Nursing, Baltimore 21201.

Heart & Lung : the Journal of Critical Care
|March 1, 1991
PubMed
Summary

Chest tube removal often causes burning and pain, with pulling sensations also reported. Most patients experience minimal discomfort after the tube is out, aiding in better patient preparation.

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Area of Science:

  • Thoracic Surgery
  • Pain Management
  • Patient Experience

Background:

  • Chest tube removal is a common procedure following thoracic surgery.
  • Limited literature exists on patient-reported sensations during chest tube removal.
  • Understanding these sensations is crucial for effective patient preparation and care.

Purpose of the Study:

  • To examine the sensations experienced by patients during chest tube removal.
  • To identify factors influencing these sensations, such as analgesia and tube type.
  • To compare reported sensations with existing literature for improved patient education.

Main Methods:

  • A study involving 36 post-thoracic surgery patients (24 male, 12 female) scheduled for chest tube removal.
  • Patients reported sensations and their intensity using a 100 mm visual analog scale within 15 minutes post-removal.
  • Data collected on patient demographics, analgesia use, and tube type (mediastinal or pleural).

Main Results:

  • Burning (mean intensity 64), pain (62), and pulling (45) were the most frequent sensations during removal.
  • Few sensations were reported after removal, with only five patients experiencing chest soreness.
  • No significant differences in sensations were found based on analgesia, tube type, or sex; younger patients reported higher intensities.

Conclusions:

  • Patient-reported sensations during chest tube removal, including burning, pain, and pulling, differ from previous descriptions.
  • Factors like analgesia, tube type, and sex did not significantly alter sensation intensity.
  • Findings provide valuable data for enhancing patient preparation and managing expectations during chest tube removal.

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