Objective:
The study was done to determine the effect of different types of drain to postoperative effusion and pain on patients who enderwent coronary artery bypass grafting (CABG).
Material and Methods:
50 patients data were evaluated prospectively. Standart drain was placed into 7-8th intercostal area (Group 1). L drain was placed into pleural area (Group 2). Demographic data, drainage amounts were written from hospital documents. Postoperative phericardial and pleural effusion was determined by echocardiography and chest x-ray. Verbal Rating Scale was used to dedicate pain score. Data were analyzed by T test.
Results:
Groups demographic data were similar. Drainage was 652.0±328.3 ml (Group 1), 620.0 ± 169.5 ml (p=0.04) in Group 2. Pain score before taking of drain was 2.0±2.6 (Group 1), 1.0±1.6 (p=0.01) in Group 2, after taking of drain was 4.7±3.0 (Group 1), 2.1±2.0 (p=0.05) in Group 2. Fifteen day mean phericardial effusion was 0.2±0.4 cm (Group 1), 0.1±0.3 (p=0.05) in Group 2. There was no difference between other parameters.
Conclusion:
Using both types of drain seems to be safe but L drain is more comfortable because of less pain.
Keywords: Pain, L drain, pericardial effusion, pleural effusion, standart drain