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Postoperative Chest Pain

  • Jane Sbalchiero

Abstract

Chest pain is a commonly encountered symptom in patients recovering from recent surgery. One should be familiar with the ACLS protocol as well as the various medications used to control cardiac arrhythmias in the event symptoms progress to cardiac arrest. The initial evaluation should include assessing the patient’s vital signs and mental status. If the blood pressure, pulse and respiratory rate are stable and the patient is awake and alert, a deliberate and organized approach is possible. One should obtain an accurate description of the chest pain. Is the pain sharp, dull, pressure-like, pleuritic, radiating, or reproducible? Often, a patient will have musculoskeletal pain related to positioning during surgery, or incisional chest pain, for example, following a modified radical mastectomy or thoracotomy. These entities can be distinguished from cardiac pain by specific questions during the history.

Keywords

Pulmonary Embolism Chest Pain Pulmonary Edema Aortic Dissection Radical Mastectomy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media New York 1998

Authors and Affiliations

  • Jane Sbalchiero

There are no affiliations available

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