The effect of ice pack and lukewarm gel pad use on pain, anxiety levels, and physiological parameters of children during surgical drain removal in children aged 9-18 years
View abstract on PubMed
Summary
This summary is machine-generated.Ice packs effectively reduced pain and anxiety during surgical drain removal in children. This study recommends ice pack application as a standard medical practice for pediatric patients undergoing drain removal.
Area Of Science
- Pediatric Surgery
- Pain Management
- Anxiety Reduction
Background
- Surgical drain removal can cause significant pain and anxiety in children.
- Non-pharmacological methods are sought to improve patient comfort during procedures.
Purpose Of The Study
- To evaluate the efficacy of ice packs and lukewarm gel pads in managing pain and anxiety during surgical drain removal in pediatric patients.
- To compare these interventions against a control group receiving no treatment.
Main Methods
- A randomized controlled trial involving 99 children (aged 9-18 years) undergoing surgical drain removal.
- Participants were assigned to an ice pack group, a gel pad group, or a control group.
- Pain and anxiety levels were assessed using validated scales, alongside vital signs monitoring.
Main Results
- Ice packs significantly reduced intra- and post-procedural pain and post-procedural anxiety compared to gel pads and no intervention.
- No significant differences were observed in blood pressure or oxygen saturation between groups.
- While pulse rates differed pre-procedure, post-procedure differences were not significant; however, respiratory rates showed significant post-procedural differences.
Conclusions
- Ice pack application is an effective non-pharmacological intervention for reducing pain and anxiety during pediatric surgical drain removal.
- Widespread adoption of ice packs is recommended as a standard, evidence-based practice to enhance patient comfort.
Related Concept Videos
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...
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...

