The effect of cold application and lavender oil inhalation in cardiac surgery patients undergoing chest tube removal

Hasanzadeh, Farzaneh; Kashouk, Narges Mohammadi; Amini, Shahram; Asili, Javad; Emami, Seyed Ahmad; Vashani, Hamidreza Behnam; Sahebkar, Amirhossein

doi:10.17179/excli2015-748

Cited by 14 publications

(26 citation statements)

References 20 publications

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“… 24 Lavender has also been shown to decrease pain during procedures, particularly when inhaled prior to a generally painful procedure such as catheter or needle insertion and chest tube removal. 25 - 27 While the effects of lavender on various medical procedures have been investigated, no studies to the authors’ knowledge have examined the effects of lavender on fluoroscopic spine procedures. This study investigated whether inhalation of lavender essential oil reduced the pain and anxiety associated with interventional spine procedures, particularly lumbar epidural injections and medial branch blocks.…”

Section: Introductionmentioning

confidence: 99%

Impact of Lavender on Pain and Anxiety Levels Associated With Spine Procedures

Grabnar

Roach

Abd‐Elsayed

et al. 2021

TOJ

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Background: To reduce pain and anxiety associated with interventional pain procedures, sedation is often used, with benzodiazepines, opioids, and propofol the most commonly used classes of drugs for sedation. However, patient coherence and ability to communicate procedural pain and abnormal sensations help prevent adverse outcomes. Therefore, discovering alternative therapies to mitigate the anxiety and pain associated with these procedures and to minimize risk is important. The aim of our study was to investigate whether lavender has an effect on pain and anxiety associated with lumbar epidural steroid injections and lumbar medial branch blocks. Methods: In this randomized controlled study, 54 subjects were randomly assigned to 1 of 3 intervention groups, and 46 patients were included in the final analysis: experimental lavender group (n=17), control almond oil group (n=15), and placebo sterile water group (n=14). Patients wore a mask infused with either lavender, almond oil, or water for 5 minutes prior to and during their procedure. Patients rated their anxiety using the State-Trait Anxiety Inventory prior to and after the procedure based on how they felt during the procedure. Patients rated their pain according to the numerical rating scale. Outcome measures were a comparison of pain among the 3 groups and a comparison of the change in anxiety before and after the procedure among the 3 groups. Results: The lavender group demonstrated the highest mean change in anxiety scores (9.9) compared to almond oil (5.3) and water (3.6) preprocedurally vs postprocedurally. The lavender group also reported the lowest mean pain level (3.8) compared to almond oil (5.6) and water (5.6). However, none of the differences between groups showed statistical significance at the P <0.05 level. Conclusion: Lavender may have a clinically beneficial effect on anxiety levels and pain reduction.

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Section: Introductionmentioning

confidence: 99%

Impact of Lavender on Pain and Anxiety Levels Associated With Spine Procedures

Grabnar

Roach

Abd‐Elsayed

et al. 2021

TOJ

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“…1 Although chest tube application is an important therapeutic intervention, it causes severe pain that reduces the comfort and satisfaction of the patient during removal. 2 , 3 During the removal of chest tube, the individual experiences pain caused by adherence to the tissue which the tube contacts with and separation of adhesions due to withdrawal. 1 , 3 – 5 Patients describe chest tube removal as a painful procedure.…”

Section: Introductionmentioning

confidence: 99%

“… 2 , 3 During the removal of chest tube, the individual experiences pain caused by adherence to the tissue which the tube contacts with and separation of adhesions due to withdrawal. 1 , 3 – 5 Patients describe chest tube removal as a painful procedure. 2 , 3 , 5 – 7 Analgesic agents administered during chest tube removal are frequently used in the treatment of acute pain.…”

Section: Introductionmentioning

confidence: 99%

“…1 , 3 – 5 Patients describe chest tube removal as a painful procedure. 2 , 3 , 5 – 7 Analgesic agents administered during chest tube removal are frequently used in the treatment of acute pain. 2 , 8 , 9 However, severe pain management requires the use of non-pharmacological agents in addition to pharmacological agents because the patient's response to pharmacological treatment is varied and there is often no complete control of pain with these agents.…”

Section: Introductionmentioning

confidence: 99%

“…In addition to this, it stimulates the touch receptors with the door-control theory, increases the release of endogenous opioids and thus decreases the pain. 3 – 6 , 11 – 13 Research has shown that cold application is effective in controlling pain occurring during chest tube removal process and that less analgesic is needed due to cold application in this process. There are study reports on cold application with ice pack or gel pad 2 – 4 , but there are no currently available, previous studies results on the comparative effect of two different cold application materials on pain.…”

Section: Introductionmentioning

confidence: 99%

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Effect of different cold application materials on pain during chest tube removal: three-arm randomized controlled clinical trial

Soydan¹,

Uğraş²

2021

Afr H. Sci.

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Background: Chest tube causes severe pain during removal because it attaches to the endothelium in the chest cavity. Objectives: This study aimed to determine the effectiveness of cold application with ice pack and gel pad in the control of pain experienced during chest tube removal. Methods: The sample of prospective, parallel three-arm (1:1:1), randomized controlled clinical trial consisted of 180 patients in two experimental groups (ice pack/gel pad) and one control group. The primary outcome was effect of cold application materi- als on severity of pain during chest removal. Secondary outcomes were duration of cold application and analgesic requirements of the patients. Results: The study found that the cold application using either of the materials reduced the severity of pain and the need for analgesics after the removal of chest tube compared to the control group (p<0.05). But cold application with ice pack allowed the skin to drop to the temperature effective in pain control in a shorter time than gel pad application (p<0.05). Conclusions: Despite entirely covering the area around the chest tube, the gel pad was more disadvantageous than ice pack in pain control due to the longer duration of cold application. Keywords: Chest tube removal; cold application; pain; nurse.

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Effects of virtual reality on chest tube removal pain management in patients undergoing coronary artery bypass grafting: a randomized clinical trial

Dalir,

Seddighi,

Esmaily

et al. 2024

Sci Rep

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The pain associated with chest tube removal (CTR) is one of the significant complications of cardiac surgery. The management of this pain is recognized as a vital component of nursing care. The application of distraction techniques using virtual reality (VR) is an effective and straightforward non-pharmacological approach to alleviate pain. This study aimed to determine the impact of VR technology on the management of pain caused by CTR following coronary artery bypass grafting (CABG). This randomized clinical trial was conducted on 70 patients undergoing CABG at Imam Reza and Qaem hospitals in Mashhad, Iran, in 2020. The patients were randomly divided into two groups of 35. For the intervention group, a 360-degree video was played using VR glasses 5 min before the CTR procedure. The pain intensity was measured before, immediately after, and 15 min after CTR, using the Visual Analogue Scale. Also, the Depression Anxiety and Stress Scale-21 (DASS-21), and the Rhoten Fatigue Scale (RFS) were used to evaluate intervention and control groups before the CTR procedure. The collected data was analyzed using statistical tests, such as Chi-square, independent t-test, and Mann–Whitney test. The patients were homogeneous in terms of stress, anxiety, and fatigue levels before CTR, and they did not show any significant differences (P > 0.05). The average pain intensity score of patients in the intervention group significantly decreased immediately and 15 min after CTR, compared to the control group (P < 0.001). Given the positive impact of VR distraction on the severity of pain associated with CTR in patients undergoing CABG, this technique can serve as an effective, accessible, and cost-efficient non-pharmacological approach for managing pain in these patients.Trial registration: This study was registered in the Iranian Registry of Clinical Trials (code: IRCT20190708044147N1; approval date, 08/26/2019).

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The effect of cold application and lavender oil inhalation in cardiac surgery patients undergoing chest tube removal

Cited by 14 publications

References 20 publications

Impact of Lavender on Pain and Anxiety Levels Associated With Spine Procedures

Impact of Lavender on Pain and Anxiety Levels Associated With Spine Procedures

Effect of different cold application materials on pain during chest tube removal: three-arm randomized controlled clinical trial

Effects of virtual reality on chest tube removal pain management in patients undergoing coronary artery bypass grafting: a randomized clinical trial

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