Cold Application on Pain During Chest Tube Removal

Chest Tube Removal Clinical Trial

Official title:

Efficacy of Cold Application on Pain During Chest Tube Removal: A Randomized Controlled Trial : A CONSORT Compliant Article

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03307239
• Other study ID #: 103044
• Status: Completed
• Phase: N/A
• First received: October 2, 2017
• Last updated: October 10, 2017
• Start date: September 15, 2014
• Est. completion date: September 15, 2015

Study information

• Verified date: October 2017
• Source: Chiayi Christian Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Abstract Objectives: Use of analgesics is the most common method to alleviate the pain induced by chest tube removal (CTR), but patient response to medication can vary and may not be achieved complete relaxation. This study was to determine the effectiveness of cold application in combination with standard analgesic administration before CTR on CTR-induced pain.

Methods: A prospective, randomized, single-blind, placebo sham-controlled study was conducted. In addition to the same routine care, subjects in the experimental group (n = 30) received cold application of 600 g ice packs 15 minutes before CTR, whereas subjects in the placebo sham group (n = 30) received tap water packs. Numerical rating scale was used to measured pain intensity before, immediately after, and 10 minutes after CTR.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 60
• Est. completion date: September 15, 2015
• Est. primary completion date: September 15, 2015
• Accepts healthy volunteers: No
• Gender: All
• Age group: 20 Years and older

Eligibility

Inclusion Criteria:

• (a) age greater than 20 years, (b) single chest-tube insertion, (c) first-time insertion of the chest tube, (d) ability to verbally report pain, (e) body mass index of < 30 kg/m2, and (f) normal vital signs.

Exclusion Criteria:

• cold urticaria

Related Conditions & MeSH terms

• Chest Tube Removal

Intervention

Other:
• cold application
We manufactured two ice packs (17 × 12 cm) with a combined weight of 600 g. The ice packs were inserted into adjustable wraps made in our hospital so that they can be fixed next to the skin on each side of the chest tube in patients awaiting CTR. The combined contact area of the ice packs was approximately 25 cm in diameter around the chest tube. For patients of the experimental group, they were received 15-minutes cold application.
• tap water packs application
We manufactured two tap water packs (17 × 12 cm) with a combined weight of 600 g. The tap water packs were inserted into adjustable wraps made in our hospital so that they can be fixed next to the skin on each side of the chest tube in patients awaiting CTR. The combined contact area of the tap water packs was approximately 25 cm in diameter around the chest tube. For patients of the sham group, they were received 15-minutes tap water application.

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Chiayi Christian Hospital

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	numerical rating scale (NRS)	the intensity of pain at the chest tube replacement	before cold application
Primary	numerical rating scale (NRS)	the intensity of pain at the chest tube removal	immediately after chest tube removal
Primary	numerical rating scale (NRS)	the intensity of pain at the chest tube removal	10 minutes after chest tube removal