Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2022 Oct 1;22(5):467-472.
doi: 10.1097/ANC.0000000000000936. Epub 2021 Aug 11.

The Effect of Facilitated Tucking on the Pain Intensity Induced by Chest Tube Removal in Infants

Batool Pouraboli  1 , Jila Mirlashari, Aida Safaiee Fakhr, Hadi Ranjbar, Somayeh Ashtari
Affiliations
Randomized Controlled Trial

The Effect of Facilitated Tucking on the Pain Intensity Induced by Chest Tube Removal in Infants

Batool Pouraboli et al. Adv Neonatal Care. .

Abstract

Background: Removal of a chest tube is a painful procedure for infants. Medications, including narcotics, are used to control pain, but nonpharmacologic interventions are also effective in reducing pain during this procedure and are not associated with adverse effects.

Purpose: To evaluate the additive effect of facilitated tucking to the use of morphine on infant pain associated at the time of chest tube removal.

Methods: This was a prospective, randomized control study. Sixty infants were randomized into 2 equal groups utilizing a coin flip. All infants received 0.05-mg/kg morphine 20 minutes before chest tube removal. The intervention group received facilitated tucking and the control group received standard care. Infant pain was measured using the Neonatal Infant Pain Scale. Pain was assessed at 3 time points by 2 independent evaluators: 5 minutes before, during, and 5 minutes after removal of the chest tube. Mann-Whitney and Fisher's exact (Chi-square) tests were used to compare the intervention and control groups.

Results: Pain scores were increased during chest tube removal for both the intervention and the control groups. Compared with the control group, pain scores for infants in the intervention group were less before, during, and after chest tube removal.

Implications for practice: Facilitated tucking combined with morphine administration can be an effective additive intervention for pain control in infants during chest tube removal.

Implications for research: Evaluate the effect of the facilitated tucking on pain induced by chest tube removal in preterm infants. Preterm infants may respond differently to pain.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflicts of interest.

References

    1. Wallace H, Jones T. Managing procedural pain on the neonatal unit: do inconsistencies still exist in practice? J Neonatal Nurs. 2017;23(3):119–126.
    1. Mehrnoush N, Ashktorab T, Heidarzadeh M, Momenzadeh S. Exploring effective factors in the implementation of neonatal pain management from of nurse's perspectives in neonatal intensive care unit: a content analysis. Koomesh. 2017;19(2):309–319.
    1. Dubin AE, Patapoutian A. Nociceptors: the sensors of the pain pathway. J Clin Invest. 2010;120(11):3760–3772.
    1. Younes RN, Gross JL, Aguiar S, Haddad FJ, Deheinzelin D. When to remove a chest tube? A randomized study with subsequent prospective consecutive validation. J Am Coll Surg. 2002;195(5):658–662.
    1. Hall JE. Guyton & Hall Physiology Review E-Book. Elsevier Health Sciences; 2015.

Publication types

Substances