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IRCT201205169664N2 IRCT 2012-06-06 Vice-chancellor for Research of Zanjan University of Medcial Sciences and Health Services The effectiveness of cold application in combination with Indomethacin suppository on chest tube removal pain undergone open heart surgery patients. The effectiveness of cold application in combination with Indomethacin suppository on chest tube removal pain undergone open heart surgery patients. 2011-04-04 anticipated 68 Complete https://irct.ir/trial/10236 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment. N/A chest tube removal pain. Intervention 1: In Intervention group 100 mg Indomethacin suppository will be administered one hour before Chest tube removal. In intervention group a 4º c cold pack will be placed on chest tube site 20 minutes before removing chest tube. pain intensity evaluated by the visual analog scale three times:20 minutes before, just after and 15 minutes after chest tube removal. In controrl group: 100 mg Indomethacin suppository will be administered one hour prior to Chest tube removal. In control group same cold pack with room tempreature (as placebo) will be placed on chest tube site 20 minutes before removing chest tube. pain intensity evaluated by the visual analog scale three times:20 minutes before, just after and 15 minutes after chest tube removal. Intervention 2: control group: 100 mg Indomethacin suppository will be administered one hour prior to Chest tube removal. In control group same cold pack with room tempreature (as placebo) will be placed on chest tube site 20 minutes before removing chest tube. pain intensity evaluated by the visual analog scale three times:20 minutes before, just after and 15 minutes after chest tube removal. Iran J Nurs Midwifery Res. 2014 Jan-Feb; 19(1): 77–81 Background:<br /> <br /> Chest tube removal is a painful procedure. The goal of this study was to evaluate the effect of cold application in combination with Indomethacin suppository on chest tube removal pain in patients undergoing open heart surgery.<br /> Materials and Methods:<br /> <br /> This single-blind, double-group clinical trial was performed on 66 patients aged 18-68 years with the chest tube in pleural space. The Indomethacin suppository (100 mg) was administered 1 h before the chest tub removal in both groups. In the intervention group, we applied a 4°C cold pack in the chest tube side for 20 min. In the placebo group, the applied pack was at room temperature. Pain intensity was measured by Visual Analog Score 20 min before, immediately after, and 15 min after the chest tube removal.<br /> Results:<br /> <br /> Immediately after the CTR, the mean pain score was 2.67 ± 0.79 and 3.9 ± 0.76 in the intervention and placebo groups, respectively. The pain scores measured before and 15 min after the CTR were not statistically different between the two groups.<br /> Conclusion:<br /> <br /> Application of cold in combination with Indomethacin suppository during the CTR was a suitable, low-risk, and easy method for pain control in open heart patients.
public Mitra Payami Bousari
Zanjan, Nursing and midwifery faculty of Zanjan University of Medical Sciences and Health Services, Parvin Eesami Ave.,\
Zanjan Iran (Islamic Republic of) 4515786339 +98 24 1727 2057 payami@zuma.ac.ir Zanjan University of Medcial Sciences and Health Services scientific Mitra Payami Bousari
Zanjan, Nursing and Midwifery faculty of Zanjan University of Medical Sciences and Health Services, Parvin Etesami Ave.
Zanjan Iran (Islamic Republic of) 4515786339 +98 24 1727 2057 payami@zums.ac.ir Zanjan University of Medcial Sciences and Health Services Iran (Islamic Republic of) inclusion criteria: patients undergo sternomy surgery, range of age :18-69, oriented to time and place, able to answer to questions, not addicted to drug , no smoking , Indometacin suppository or other kind of sedative have not being prescribed at least 6 hours before intervention also having no opoids prescription 12 hours before intervention, having at least one chest tube in pluera, having physician order for removing chest tube , exclusion criteria: sudden change in patient status during the intervention, pain in other organs which affect chest tube removal pain such as heart pain 18 years 69 years Both I00-I99 Treatment - Other Treatment - Drugs In Intervention group 100 mg Indomethacin suppository will be administered one hour before Chest tube removal. In intervention group a 4º c cold pack will be placed on chest tube site 20 minutes before removing chest tube. pain intensity evaluated by the visual analog scale three times:20 minutes before, just after and 15 minutes after chest tube removal. In controrl group: 100 mg Indomethacin suppository will be administered one hour prior to Chest tube removal. In control group same cold pack with room tempreature (as placebo) will be placed on chest tube site 20 minutes before removing chest tube. pain intensity evaluated by the visual analog scale three times:20 minutes before, just after and 15 minutes after chest tube removal. control group: 100 mg Indomethacin suppository will be administered one hour prior to Chest tube removal. In control group same cold pack with room tempreature (as placebo) will be placed on chest tube site 20 minutes before removing chest tube. pain intensity evaluated by the visual analog scale three times:20 minutes before, just after and 15 minutes after chest tube removal. Pain of chest tube removal. Timepoint: 20 minutes before CTR , just after and 15 minutes after CTR. Method of measurement: visual analog scores (VAS). Vital sign including Blood pressure, pulse, respiratory rate. Timepoint: 20 minutes before CTR, just after and 15 minutes after intervention. Method of measurement: mm/hg for BP, nomber for Pulse and respiratory rate announced by vital sign monitoring system Pooyandegan rahe Saadat made by iran. Vice-chancellor for Research of Zanjan University of Medcial Sciences and Health Services Approved 2010-09-23 Zanjan University of Medical Sciences & health services Azadi Square,Zanjan University of Medical Sciences and Health Services Zanjan Iran (Islamic Republic of) Approved 2010-09-23 Ethics comittee of Vice-chancellor for Research of Zanjan university of medical sciences and health Azadi Square,Zanjan University of Medical Sciences and Health Services Zanjan Iran (Islamic Republic of)