Related Experiment Video

Updated: Jan 11, 2026

Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery
09:38

Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery

Published on: April 14, 2016

13.1K

A non-pharmacological approach to pain management in pediatrics: cold pack therapy during intravenous cannulation

Angga Wilandika1, Imam Sabarudin2, Sajodin1

  • 1Nursing Department, Universitas 'Aisyiyah Bandung, Bandung, Indonesia.

Pain Management
|November 10, 2025
PubMed

Insights

Cold pack therapy significantly reduces pain during intravenous cannulation in pediatric patients. This non-pharmacological approach offers a simple, effective method to improve comfort and minimize distress during medical procedures.

Area of Science:

  • Pediatric Nursing
  • Pain Management
  • Non-pharmacological Interventions

Background:

  • Intravenous cannulation is a common but painful procedure for pediatric patients.
  • Effective pain management is crucial for improving patient experience and reducing procedural anxiety.
  • Non-pharmacological methods are sought after to complement or replace traditional pain relief.

Purpose of the Study:

  • To evaluate the effectiveness of cold pack therapy in alleviating pain during intravenous cannulation in children.
  • To compare the efficacy of cold pack therapy against standard care for pediatric pain management.
  • To determine if cold pack therapy offers significant advantages in reducing procedural pain.

Main Methods:

  • A quasi-experimental study involving 98 pediatric patients aged 3-6 years.
  • Block randomization assigned participants to either cold pack therapy (intervention) or standard care (control).
  • Pain was assessed using the FLACC (Face, Legs, Activity, Cry, Consolability) Pain Scale; Mann-Whitney U test was used for analysis.

Main Results:

  • The intervention group receiving cold pack therapy reported significantly lower pain scores (3.31 ± 1.63) compared to the control group (4.33 ± 1.56; p=0.002).
  • A higher percentage of the intervention group experienced mild pain (46.9%) versus moderate pain in the control group (57.1%).

Conclusions:

  • Cold pack therapy is an effective and simple method for reducing pain in pediatric patients undergoing intravenous cannulation.
  • Implementing cold pack therapy in routine clinical practice can enhance patient comfort.
  • This intervention helps minimize procedural distress, contributing to better pediatric healthcare outcomes.
Abstract

Keywords:
Cold temperatureintravenous injectionspain managementpain perceptionspediatrics pain

More Related Videos

An Alternative to the Traditional Cold Pressor Test: The Cold Pressor Arm Wrap09:16

An Alternative to the Traditional Cold Pressor Test: The Cold Pressor Arm Wrap

Published on: January 16, 2014

14.8K
A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings06:59

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

Published on: November 9, 2016

31.1K

Related Concept Videos

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
1.1K
Methods of reducing fever01:22

Methods of reducing fever

The signs and symptoms of fever include hot and dry skin, flushed face, thirst, muscle aches, anorexia, headache, tachycardia, tachypnea, and fatigue. Elevated body temperature is reduced using two methods: pharmacological and nonpharmacological. Proper identification and treatment of the root cause of a fever is of utmost importance.
Pharmacological Methods of Reducing Fever:
1.2K
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
360
Decreased Body Temperature01:29

Decreased Body Temperature

A decreased body temperature can occur in patients with hypothermia and frostbite. Heat loss with extended cold exposure overpowers the body's ability to create heat, resulting in hypothermia. Core temperature readings help classify hypothermia. Mild hypothermia is temperatures between 32 °C (89.6 °F) and 35°C (95 °F) and is caused by impaired thermoregulation. Moderate hypothermia is temperatures between 28 C (82.4 °F) and 32 °C (89.6 °F) caused by...
981
Parentral Nutrition: Centeral and Peripheral Parental Nutrition01:27

Parentral Nutrition: Centeral and Peripheral Parental Nutrition

Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
711
Parenteral Anesthetics: Overview01:24

Parenteral Anesthetics: Overview

Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
565