The Effects of a Cold Pack on Postoperative Turbinate and/or Septal Bleeding and Pain
| Autor: | Natamon Charakorn, Bussarakum Teerapraipruk, Theerayoot Jongsuebsit, Prakobkiat Hirunwiwatkul |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Visual Analog Scale Visual analogue scale Postoperative Hemorrhage 030230 surgery Turbinates law.invention Young Adult 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Blood loss law medicine Nasal septum Humans Immunology and Allergy 030223 otorhinolaryngology Aged Nasal Septum Pain Postoperative business.industry General Medicine Middle Aged Plastic Surgery Procedures Pain management Thailand Confidence interval Surgery Cold Temperature medicine.anatomical_structure Otorhinolaryngology Visual analog scale pain score Female business |
| Zdroj: | American Journal of Rhinology & Allergy. 30:222-225 |
| ISSN: | 1945-8932 1945-8924 |
| DOI: | 10.2500/ajra.2016.30.4306 |
| Popis: | Background The objective of this study is to evaluate the effects of a cold pack in postoperative turbinate and/or septal surgery in terms of postoperative bleeding control, pain management, and patient preference for or against application of a cold pack. Methods A randomized controlled trial was done at the Department of Otolaryngology, King Chulalongkorn Memorial Hospital, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. Ninety-nine adult subjects intending to have turbinate and/or septal surgery were consecutively enrolled in this study. Intervention was randomized into two groups. Postoperative bleeding was collected by paper tissue and weighed to determine amount and/or volume of blood loss. Postoperative pain was measured by using the visual analog scale. Patient preference for or against the use of a cold pack was also assessed. Results The mean (standard deviation) postoperative bleeding in the cold pack group was 1.31 ± 1.50 g compared with 1.81 ± 1.89 g in the control group. The mean difference was 0.50 g (95% confidence interval, -0.19 to 1.19 g; p = 0.15). The mean (standard deviation) postoperative visual analog scale pain score in the cold pack group was 2.40 ± 2.32 compared with 3.33 ± 2.83 in the control group. The mean difference was 0.94 (95% confidence interval, -0.11 to 1.99; p = 0.79). Most of the subjects preferred using a cold pack (78.7%) to not using a cold pack (21.3%) (p < 0.001). Conclusion A cold pack after turbinate and/or septal surgery had no benefit in terms of postoperative bleeding or postoperative pain. |
| Databáze: | OpenAIRE |
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